Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.81 / $53.81 / $53.81	Professional		$53.81	$53.81	$53.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $38.36 / $38.36	Facility		$38.36	$38.36	$38.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $38.36 / $39.51	Professional		$28.00	$38.36	$39.51
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $18.52 / $18.52	Facility		$18.52	$18.52	$18.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.67 / $59.67 / $94.22	Professional		$59.67	$59.67	$94.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $61.34 / $61.34	Professional		$61.34	$61.34	$61.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $18.52 / $38.36	Facility		$18.52	$18.52	$38.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.00 / $39.51 / $61.93	Professional		$28.00	$39.51	$61.93
United Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $60.06 / $78.34	Professional		$30.36	$60.06	$78.34