Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $154.88 / $154.88	Professional		$74.13	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $57.54 / $58.88	Professional		$48.98	$57.54	$58.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $107.15 / $199.53	Facility		$14.45	$107.15	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $144.54 / $489.78	Professional		$81.28	$144.54	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $14.45 / $144.54	Facility		$8.91	$14.45	$144.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.62 / $144.54	Professional		$12.30	$18.62	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $83.18	Facility		$44.67	$57.54	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $60.26 / $162.18	Professional		$48.98	$60.26	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $35.48 / $58.88	Facility		$4.90	$35.48	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $141.25 / $338.84	Professional		$72.44	$141.25	$338.84