Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $223.87	Professional		$165.96	$223.87	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Facility		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $125.89	Professional		$104.71	$123.03	$125.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $154.88 / $213.80	Facility		$20.89	$154.88	$213.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $707.95	Professional		$190.55	$208.93	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $20.89 / $208.93	Facility		$19.50	$20.89	$208.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $40.74 / $208.93	Professional		$17.78	$40.74	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $128.82 / $181.97	Facility		$100.00	$128.82	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $123.03 / $141.25	Professional		$60.26	$123.03	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $77.62 / $128.82	Facility		$10.23	$77.62	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $204.17 / $371.54	Professional		$104.71	$204.17	$371.54