Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $165.96 / $165.96	Professional		$77.62	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $63.10	Professional		$51.29	$60.26	$63.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $117.49 / $213.80	Facility		$15.49	$117.49	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $524.81	Professional		$85.11	$154.88	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $15.49 / $154.88	Facility		$8.32	$15.49	$154.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $19.95 / $154.88	Professional		$11.22	$19.95	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $57.54 / $79.43	Facility		$41.69	$57.54	$79.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $128.82	Professional		$51.29	$60.26	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $33.11 / $66.07	Facility		$4.47	$33.11	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $371.54	Professional		$79.43	$151.36	$371.54