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 $51.32 / $51.32 / $51.32	Facility		$51.32	$51.32	$51.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $51.32 / $54.71	Professional		$37.46	$51.32	$54.71
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 / $51.32	Facility		$26.46	$26.46	$51.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $37.46 / $54.71 / $88.44	Professional		$37.46	$54.71	$88.44
United Facility/Professional Professional Modifier Low / Median / High Price $43.38 / $58.79 / $111.95	Professional		$43.38	$58.79	$111.95