Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $234.42 / $234.42	Professional		$147.91	$234.42	$234.42
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 $21.88 / $165.96 / $218.78	Facility		$21.88	$165.96	$218.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $741.31	Professional		$169.82	$218.78	$741.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $21.88 / $218.78	Facility		$16.22	$21.88	$218.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $44.67 / $218.78	Professional		$18.62	$44.67	$218.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $107.15 / $154.88	Facility		$77.62	$107.15	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $245.47	Professional		$60.26	$114.82	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $67.61 / $120.23	Facility		$9.12	$67.61	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $213.80 / $389.05	Professional		$109.65	$213.80	$389.05