Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $67.61 / $100.00	Professional		$63.10	$67.61	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $75.86	Professional		$51.29	$51.29	$75.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $123.03	Facility		$75.86	$75.86	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $67.61 / $95.50	Professional		$60.26	$67.61	$95.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $109.65 / $114.82	Facility		$100.00	$109.65	$114.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $112.20	Professional		$89.13	$109.65	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $123.03	Facility		$75.86	$75.86	$123.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $107.15	Professional		$51.29	$70.79	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $54.95	Facility		$51.29	$51.29	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $251.19	Professional		$54.95	$87.10	$251.19