Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.90 / $78.51 / $78.51	Professional		$73.90	$78.51	$78.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $58.60 / $62.47	Professional		$42.78	$58.60	$62.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $27.03 / $27.03	Facility		$27.03	$27.03	$27.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $87.07 / $137.47	Professional		$87.07	$87.07	$137.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.50 / $89.50 / $89.50	Professional		$89.50	$89.50	$89.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $27.03 / $58.60	Facility		$27.03	$27.03	$58.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $62.47 / $107.40	Professional		$42.78	$62.47	$107.40
United Facility/Professional Professional Modifier Low / Median / High Price $44.30 / $87.64 / $114.32	Professional		$44.30	$87.64	$114.32