Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $131.83 / $131.83	Professional		$102.33	$131.83	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $79.43	Professional		$67.61	$79.43	$79.43
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 $123.03 / $123.03 / $416.87	Professional		$123.03	$123.03	$416.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $12.30 / $123.03	Facility		$11.22	$12.30	$123.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $25.70 / $123.03	Professional		$10.47	$25.70	$123.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $74.13 / $104.71	Facility		$52.48	$74.13	$104.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $138.04	Professional		$60.26	$79.43	$138.04
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $37.15 / $91.20	Facility		$4.90	$37.15	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $120.23 / $218.78	Professional		$63.10	$120.23	$218.78