Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $64.81 / $64.81	Professional		$64.81	$64.81	$64.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $52.95	Facility		$52.95	$52.95	$52.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $52.95 / $56.44	Professional		$38.65	$52.95	$56.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $23.08 / $23.08	Facility		$23.08	$23.08	$23.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $71.88 / $113.49	Professional		$69.95	$71.88	$113.49
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.89 / $73.89 / $73.89	Professional		$73.89	$73.89	$73.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $23.08 / $52.95	Facility		$23.08	$23.08	$52.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $54.61 / $86.29	Professional		$38.65	$54.61	$86.29
United Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $51.29 / $94.37	Professional		$36.57	$51.29	$94.37