Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.87 / $71.87 / $71.87	Professional		$71.87	$71.87	$71.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Facility		$45.25	$45.25	$45.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.25 / $45.25 / $45.25	Professional		$45.25	$45.25	$45.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.24 / $71.87 / $100.62	Facility		$53.24	$71.87	$100.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $5,250.35 / $5,250.35 / $5,250.35	Professional		$5,250.35	$5,250.35	$5,250.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $57.57 / $3,495.87	Facility		$50.37	$57.57	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $39.58 / $43.18	Professional		$30.58	$39.58	$43.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.24 / $71.87 / $100.62	Facility		$53.24	$71.87	$100.62
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.97 / $37.47 / $45.25	Professional		$35.97	$37.47	$45.25
United Facility/Professional Professional Modifier Low / Median / High Price $66.54 / $66.54 / $133.08	Professional		$66.54	$66.54	$133.08