Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $76.89 / $76.89	Professional		$76.89	$76.89	$76.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $57.03	Facility		$57.03	$57.03	$57.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $57.03 / $58.74	Professional		$41.63	$57.03	$58.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $26.46 / $26.46	Facility		$26.46	$26.46	$26.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $85.26 / $134.63	Professional		$85.26	$85.26	$134.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.65 / $87.65 / $87.65	Professional		$87.65	$87.65	$87.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.46 / $26.46 / $57.03	Facility		$26.46	$26.46	$57.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.63 / $58.74 / $88.44	Professional		$41.63	$58.74	$88.44
United Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $85.82 / $198.22	Professional		$43.38	$85.82	$198.22