Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $102.33	Professional		$52.48	$61.66	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $57.54	Professional		$38.90	$38.90	$57.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $102.33	Facility		$63.10	$63.10	$102.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $102.33	Professional		$47.86	$60.26	$102.33
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $117.49 / $120.23	Facility		$91.20	$117.49	$120.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $120.23	Professional		$95.50	$117.49	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $117.49	Facility		$63.10	$63.10	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $60.26 / $100.00	Professional		$38.90	$60.26	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $45.71	Facility		$42.66	$42.66	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $208.93	Professional		$57.54	$89.13	$208.93