Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.99 / $44.99 / $44.99	Professional		$44.99	$44.99	$44.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.25 / $37.25 / $37.25	Facility		$37.25	$37.25	$37.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $37.25 / $39.71	Professional		$27.19	$37.25	$39.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Facility		$18.86	$18.86	$18.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $55.61 / $77.06	Professional		$48.80	$55.61	$77.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.17 / $50.17 / $50.17	Professional		$50.17	$50.17	$50.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.86 / $18.86 / $37.25	Facility		$18.86	$18.86	$37.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $37.25 / $60.20	Professional		$27.19	$37.25	$60.20
United Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $25.63 / $49.13	Professional		$24.83	$25.63	$49.13