Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $199.53 / $199.53	Professional		$138.04	$199.53	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $72.44	Professional		$51.29	$70.79	$72.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $141.25 / $194.98	Facility		$18.62	$141.25	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $186.21 / $630.96	Professional		$162.18	$186.21	$630.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $18.62 / $186.21	Facility		$15.14	$18.62	$186.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $38.90 / $190.55	Professional		$15.85	$38.90	$190.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $158.49	Facility		$120.23	$120.23	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $120.23	Professional		$51.29	$70.79	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $50.12 / $123.03	Facility		$6.76	$50.12	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $181.97 / $331.13	Professional		$95.50	$181.97	$331.13