Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $70.79 / $85.11	Professional		$54.95	$70.79	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $77.62	Professional		$54.95	$54.95	$77.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $128.82	Facility		$44.67	$44.67	$128.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $60.26 / $89.13	Professional		$50.12	$60.26	$89.13
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $363.08 / $363.08	Facility		$120.23	$363.08	$363.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $489.78	Professional		$186.21	$363.08	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $128.82	Facility		$44.67	$44.67	$128.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $125.89	Professional		$54.95	$75.86	$125.89
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $257.04	Facility		$57.54	$57.54	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $107.15 / $316.23	Professional		$64.57	$107.15	$316.23