Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.87 / $94.87 / $94.87	Professional		$94.87	$94.87	$94.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $51.00	Facility		$51.00	$51.00	$51.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $72.17	Professional		$51.00	$51.00	$72.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.76 / $94.87 / $132.82	Facility		$53.76	$94.87	$132.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $66.30	Professional		$51.00	$51.00	$66.30
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.61 / $107.38 / $168.74	Facility		$47.61	$107.38	$168.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.66 / $84.37 / $92.04	Professional		$63.66	$84.37	$92.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $94.87 / $145.66	Facility		$51.00	$94.87	$145.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $61.69 / $87.40	Professional		$51.00	$61.69	$87.40
United Facility/Professional Professional Modifier Low / Median / High Price $76.50 / $76.50 / $153.00	Professional		$76.50	$76.50	$153.00