Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.76 / $62.76 / $62.76	Professional		$62.76	$62.76	$62.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $35.00 / $35.00	Facility		$35.00	$35.00	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $35.00 / $37.31	Professional		$25.55	$35.00	$37.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $14.11 / $14.11	Facility		$14.11	$14.11	$14.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.05 / $68.09 / $107.51	Professional		$47.05	$68.09	$107.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $69.98 / $69.98	Professional		$32.13	$69.98	$69.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $14.11 / $35.00	Facility		$14.11	$14.11	$35.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $35.00 / $50.24	Professional		$25.55	$35.00	$50.24
United Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $35.75 / $68.53	Professional		$34.64	$35.75	$68.53