Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $85.88 / $85.88	Professional		$85.88	$85.88	$85.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $57.32 / $57.32	Facility		$57.32	$57.32	$57.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $41.84	Professional		$41.84	$41.84	$41.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Facility		$29.54	$29.54	$29.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $95.24 / $150.38	Professional		$95.24	$95.24	$150.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $97.90 / $97.90	Professional		$97.90	$97.90	$97.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.54 / $29.54 / $57.32	Facility		$29.54	$29.54	$57.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $74.34 / $117.48	Professional		$41.84	$74.34	$117.48
United Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $95.85 / $125.03	Professional		$48.45	$95.85	$125.03