Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.25 / $59.25 / $59.25	Professional		$59.25	$59.25	$59.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.91 / $30.91 / $30.91	Facility		$30.91	$30.91	$30.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $30.91 / $31.84	Professional		$22.56	$30.91	$31.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $15.93 / $15.93	Facility		$15.93	$15.93	$15.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $46.99 / $65.70 / $103.74	Professional		$46.99	$65.70	$103.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.54 / $67.54 / $67.54	Professional		$67.54	$67.54	$67.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $15.93 / $15.93 / $30.91	Facility		$15.93	$15.93	$30.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $22.56 / $30.91 / $57.96	Professional		$22.56	$30.91	$57.96
United Facility/Professional Professional Modifier Low / Median / High Price $33.43 / $66.13 / $86.25	Professional		$33.43	$66.13	$86.25