Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $199.53	Professional		$75.86	$95.50	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $100.00	Professional		$81.28	$95.50	$100.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $120.23 / $186.21	Facility		$26.30	$120.23	$186.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $630.96	Professional		$123.03	$186.21	$630.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $131.83 / $194.98	Facility		$13.80	$131.83	$194.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $31.62 / $186.21	Professional		$26.30	$31.62	$186.21
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $95.50 / $138.04	Facility		$74.13	$95.50	$138.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $218.78	Professional		$60.26	$91.20	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $52.48 / $95.50	Facility		$7.59	$52.48	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $331.13	Professional		$93.33	$181.97	$331.13