Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.41 / $79.41 / $79.41	Professional		$79.41	$79.41	$79.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.03 / $37.03 / $37.03	Facility		$37.03	$37.03	$37.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $37.03 / $39.47	Professional		$27.03	$37.03	$39.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $19.07 / $19.07	Facility		$19.07	$19.07	$19.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $86.15 / $136.02	Professional		$56.29	$86.15	$136.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $88.55 / $88.55	Professional		$88.55	$88.55	$88.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $19.07 / $37.03	Facility		$19.07	$19.07	$37.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $37.03 / $69.43	Professional		$27.03	$37.03	$69.43
United Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $45.24 / $86.71	Professional		$43.83	$45.24	$86.71