Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.09 / $63.09 / $63.09	Professional		$63.09	$63.09	$63.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $33.92 / $33.92	Facility		$33.92	$33.92	$33.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $48.00	Professional		$33.92	$33.92	$48.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $63.09 / $88.33	Facility		$33.92	$63.09	$88.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $33.92 / $47.49	Professional		$33.92	$33.92	$47.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.92 / $63.09 / $88.33	Facility		$33.92	$63.09	$88.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $37.10 / $40.70	Professional		$33.92	$37.10	$40.70
United Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $50.88 / $101.76	Professional		$50.88	$50.88	$101.76