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 $34.77 / $34.77 / $34.77	Facility		$34.77	$34.77	$34.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $25.38	Professional		$25.38	$25.38	$25.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $16.17 / $16.17	Facility		$16.17	$16.17	$16.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $47.68 / $86.15 / $136.02	Professional		$47.68	$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 $16.17 / $16.17 / $34.77	Facility		$16.17	$16.17	$34.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $37.22 / $63.70	Professional		$25.38	$37.22	$63.70
United Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $45.24 / $86.71	Professional		$43.83	$45.24	$86.71