Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.92 / $58.92 / $58.92	Professional		$58.92	$58.92	$58.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.35 / $39.35 / $39.35	Facility		$39.35	$39.35	$39.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $39.35 / $40.53	Professional		$28.73	$39.35	$40.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $20.28 / $20.28	Facility		$20.28	$20.28	$20.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $65.34 / $103.17	Professional		$65.34	$65.34	$103.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.17 / $67.17 / $67.17	Professional		$67.17	$67.17	$67.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.28 / $20.28 / $39.35	Facility		$20.28	$20.28	$39.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $40.53 / $67.84	Professional		$28.73	$40.53	$67.84
United Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $65.78 / $85.80	Professional		$33.25	$65.78	$85.80