Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $204.17 / $204.17	Professional		$138.04	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $120.23	Professional		$97.72	$114.82	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $102.33 / $190.55	Facility		$19.05	$102.33	$190.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $190.55 / $645.65	Professional		$154.88	$190.55	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $19.05 / $190.55	Facility		$14.79	$19.05	$190.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $36.31 / $190.55	Professional		$16.22	$36.31	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $102.33 / $147.91	Facility		$75.86	$102.33	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $218.78	Professional		$60.26	$114.82	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $58.88 / $117.49	Facility		$7.94	$58.88	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $186.21 / $338.84	Professional		$97.72	$186.21	$338.84