Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $131.83	Professional		$83.18	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $67.61	Professional		$56.23	$66.07	$67.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $91.20 / $123.03	Facility		$12.30	$91.20	$123.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $416.87	Professional		$91.20	$123.03	$416.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.30 / $123.03	Facility		$8.91	$12.30	$123.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $25.12 / $123.03	Professional		$10.23	$25.12	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $58.88 / $87.10	Facility		$43.65	$58.88	$87.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $138.04	Professional		$56.23	$66.07	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $38.02 / $70.79	Facility		$5.13	$38.02	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $213.80	Professional		$61.66	$117.49	$213.80