Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $275.42	Professional		$186.21	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $128.82	Professional		$104.71	$123.03	$128.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $28.18 / $165.96	Facility		$25.70	$28.18	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $181.97 / $275.42	Professional		$60.26	$181.97	$275.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $25.70 / $257.04	Facility		$19.95	$25.70	$257.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $46.77 / $257.04	Professional		$21.88	$46.77	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $128.82 / $194.98	Facility		$97.72	$128.82	$194.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $123.03 / $213.80	Professional		$60.26	$123.03	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $89.13 / $154.88	Facility		$11.48	$89.13	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $436.52	Professional		$109.65	$208.93	$436.52