Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.95 / $84.95 / $84.95	Professional		$84.95	$84.95	$84.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.15 / $48.15 / $48.15	Facility		$48.15	$48.15	$48.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $48.15 / $49.59	Professional		$35.15	$48.15	$49.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $20.66	Facility		$20.66	$20.66	$20.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $63.73 / $92.16 / $145.52	Professional		$63.73	$92.16	$145.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $94.74 / $94.74	Professional		$94.74	$94.74	$94.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.66 / $20.66 / $48.15	Facility		$20.66	$20.66	$48.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $49.59 / $78.61	Professional		$35.15	$49.59	$78.61
United Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $48.40 / $92.77	Professional		$48.40	$48.40	$92.77