Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $58.26 / $58.26	Professional		$58.26	$58.26	$58.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $48.73	Facility		$48.73	$48.73	$48.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $48.73 / $51.94	Professional		$35.57	$48.73	$51.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $25.11 / $25.11	Facility		$25.11	$25.11	$25.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.21 / $74.08 / $99.81	Professional		$63.21	$74.08	$99.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.98 / $64.98 / $64.98	Professional		$64.98	$64.98	$64.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.11 / $25.11 / $48.73	Facility		$25.11	$25.11	$48.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $48.73 / $77.98	Professional		$35.57	$48.73	$77.98
United Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $33.19 / $165.96	Professional		$33.19	$33.19	$165.96