Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.75 / $102.09 / $102.09	Professional		$51.75	$102.09	$102.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $53.85	Facility		$53.85	$53.85	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $80.88 / $86.19	Professional		$68.08	$80.88	$86.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $27.76 / $27.76	Facility		$27.76	$27.76	$27.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.19 / $113.21 / $178.76	Professional		$99.19	$113.21	$178.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.43 / $91.43 / $116.38	Facility		$91.43	$91.43	$116.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $116.38 / $240.00	Professional		$91.43	$116.38	$240.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.76 / $27.76 / $70.45	Facility		$27.76	$27.76	$70.45
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.66 / $84.01 / $135.66	Professional		$76.66	$84.01	$135.66
United Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $113.95 / $148.63	Professional		$57.60	$113.95	$148.63