Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $218.78 / $218.78	Professional		$141.25	$218.78	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $112.20	Professional		$93.33	$109.65	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $23.99 / $125.89	Facility		$20.42	$23.99	$125.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $194.98 / $389.05	Professional		$60.26	$194.98	$389.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $20.89 / $208.93	Facility		$15.85	$20.89	$208.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $35.48 / $208.93	Professional		$17.38	$35.48	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $109.65 / $151.36	Facility		$79.43	$109.65	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $162.18	Professional		$60.26	$109.65	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $69.18 / $117.49	Facility		$9.33	$69.18	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $323.59	Professional		$83.18	$158.49	$323.59