Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $70.81 / $70.81	Professional		$70.81	$70.81	$70.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $65.20 / $65.20	Facility		$65.20	$65.20	$65.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $65.20 / $69.53	Professional		$47.60	$65.20	$69.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $24.35 / $24.35	Facility		$24.35	$24.35	$24.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $78.54 / $124.01	Professional		$74.48	$78.54	$124.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $80.73 / $80.73	Professional		$80.73	$80.73	$80.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $24.35 / $24.35 / $65.20	Facility		$24.35	$24.35	$65.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.60 / $65.20 / $91.88	Professional		$47.60	$65.20	$91.88
United Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $79.04 / $103.10	Professional		$39.95	$79.04	$103.10