Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $107.15 / $204.17	Professional		$85.11	$107.15	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $125.89	Professional		$104.71	$123.03	$125.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $125.89 / $194.98	Facility		$21.38	$125.89	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $660.69	Professional		$138.04	$194.98	$660.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $151.36 / $204.17	Facility		$15.14	$151.36	$204.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $34.67 / $194.98	Professional		$21.88	$34.67	$194.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $109.65 / $151.36	Facility		$85.11	$109.65	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $104.71 / $229.09	Professional		$60.26	$104.71	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $60.26 / $104.71	Facility		$7.94	$60.26	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $346.74	Professional		$97.72	$186.21	$346.74