Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.26 / $51.26 / $67.66	Professional		$51.26	$51.26	$67.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $34.22	Facility		$34.22	$34.22	$34.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $34.22 / $36.47	Professional		$24.98	$34.22	$36.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $17.64	Facility		$17.64	$17.64	$17.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $56.85 / $89.76	Professional		$56.85	$56.85	$89.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.44 / $58.44 / $58.44	Professional		$58.44	$58.44	$58.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $17.64 / $34.22	Facility		$17.64	$17.64	$34.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $36.47 / $58.99	Professional		$24.98	$36.47	$58.99
United Facility/Professional Professional Modifier Low / Median / High Price $28.93 / $57.22 / $149.28	Professional		$28.93	$57.22	$149.28