Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.51 / $79.51 / $91.14	Professional		$79.51	$79.51	$91.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $86.21	Facility		$86.21	$86.21	$86.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $86.21 / $91.91	Professional		$62.93	$86.21	$91.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $44.44 / $44.44	Facility		$44.44	$44.44	$44.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $139.22 / $141.00	Professional		$88.18	$139.22	$141.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.64 / $90.64 / $90.64	Professional		$90.64	$90.64	$90.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.44 / $44.44 / $86.21	Facility		$44.44	$44.44	$86.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $86.21 / $141.27	Professional		$62.93	$86.21	$141.27
United Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $88.76 / $115.77	Professional		$46.31	$88.76	$115.77