Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $166.00 / $166.00	Professional		$166.00	$166.00	$166.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.52 / $93.52 / $93.52	Facility		$93.52	$93.52	$93.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.52 / $96.33	Professional		$79.48	$93.52	$96.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.16 / $81.18 / $126.06	Facility		$53.16	$81.18	$126.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.12 / $126.21 / $159.31	Professional		$15.12	$126.21	$159.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $15.51 / $130.18	Professional		$12.70	$15.51	$130.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.10 / $85.72 / $124.63	Facility		$61.10	$85.72	$124.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.48 / $93.52 / $96.33	Professional		$79.48	$93.52	$96.33
United Facility/Professional Professional Modifier Low / Median / High Price $78.11 / $149.71 / $273.38	Professional		$78.11	$149.71	$273.38