Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.13 / $77.13 / $77.13	Professional		$77.13	$77.13	$77.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Facility		$48.56	$48.56	$48.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $48.56 / $48.56	Professional		$48.56	$48.56	$48.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.84 / $77.13 / $147.22	Facility		$62.84	$77.13	$147.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $191.39 / $191.39 / $257.64	Professional		$191.39	$191.39	$257.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $91.41 / $3,495.87	Facility		$79.98	$91.41	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $62.84 / $68.56	Professional		$48.56	$62.84	$68.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.84 / $79.98 / $147.22	Facility		$62.84	$79.98	$147.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.56 / $85.70 / $184.03	Professional		$48.56	$85.70	$184.03
United Facility/Professional Professional Modifier Low / Median / High Price $85.70 / $85.70 / $171.39	Professional		$85.70	$85.70	$171.39