Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.66 / $139.66 / $139.66	Professional		$139.66	$139.66	$139.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.15 / $88.15 / $88.15	Facility		$88.15	$88.15	$88.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $88.15 / $90.79	Professional		$74.93	$88.15	$90.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $40.18 / $40.18	Facility		$40.18	$40.18	$40.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $139.38 / $220.10	Professional		$139.38	$139.38	$220.10
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.47 / $128.47 / $143.29	Facility		$128.47	$128.47	$143.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $143.29 / $295.50	Professional		$116.10	$143.29	$295.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.18 / $40.18 / $122.01	Facility		$40.18	$40.18	$122.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $118.20 / $181.56	Professional		$88.15	$118.20	$181.56
United Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $49.35 / $97.64	Facility		$49.35	$49.35	$97.64
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $140.31 / $256.22	Professional		$73.20	$140.31	$256.22