Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $114.82 / $114.82	Professional		$77.62	$114.82	$114.82
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 / $61.66	Professional		$51.29	$60.26	$61.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $79.43 / $114.82	Facility		$11.48	$79.43	$114.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $107.15 / $363.08	Professional		$87.10	$107.15	$363.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $10.72 / $107.15	Facility		$8.32	$10.72	$107.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $19.95 / $107.15	Professional		$9.33	$19.95	$107.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $56.23 / $83.18	Facility		$40.74	$56.23	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $120.23	Professional		$51.29	$60.26	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $35.48 / $66.07	Facility		$4.79	$35.48	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $104.71 / $194.98	Professional		$53.70	$104.71	$194.98