Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $173.78	Professional		$141.25	$173.78	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $97.72	Professional		$83.18	$97.72	$97.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $134.90 / $154.88	Facility		$100.00	$134.90	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $524.81	Professional		$154.88	$154.88	$524.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $154.88	Facility		$15.49	$15.49	$154.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $38.90 / $154.88	Professional		$15.49	$38.90	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $102.33 / $141.25	Facility		$100.00	$102.33	$141.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $97.72 / $177.83	Professional		$83.18	$97.72	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $6.61 / $50.12 / $125.89	Facility		$6.61	$50.12	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $181.97 / $331.13	Professional		$93.33	$181.97	$331.13