Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $162.18 / $162.18	Professional		$112.20	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $93.33	Professional		$77.62	$91.20	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $114.82 / $158.49	Facility		$15.49	$114.82	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $154.88 / $524.81	Professional		$131.83	$154.88	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $15.49 / $154.88	Facility		$12.30	$15.49	$154.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $30.20 / $154.88	Professional		$13.18	$30.20	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $83.18 / $117.49	Facility		$58.88	$83.18	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $173.78	Professional		$60.26	$91.20	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $51.29 / $100.00	Facility		$6.76	$51.29	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $147.91 / $275.42	Professional		$77.62	$147.91	$275.42