Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $71.69 / $71.69	Professional		$71.69	$71.69	$71.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $38.54	Facility		$38.54	$38.54	$38.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $54.54	Professional		$38.54	$38.54	$54.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.12 / $71.69 / $100.37	Facility		$49.12	$71.69	$100.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $38.54 / $57.67	Professional		$38.54	$38.54	$57.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.04 / $117.49 / $161.55	Facility		$61.04	$117.49	$161.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $80.77 / $88.12	Professional		$60.95	$80.77	$88.12
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $76.92 / $146.86	Facility		$38.54	$76.92	$146.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.54 / $56.29 / $88.12	Professional		$38.54	$56.29	$88.12
United Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $57.81 / $115.62	Professional		$57.81	$57.81	$115.62