Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $154.88	Professional		$56.23	$100.00	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $138.04	Professional		$93.33	$93.33	$138.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $177.83 / $177.83	Facility		$38.90	$177.83	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $177.83 / $275.42	Professional		$52.48	$177.83	$275.42
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $177.83 / $186.21	Facility		$81.28	$177.83	$186.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $181.97	Professional		$151.36	$177.83	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $173.78	Facility		$38.90	$38.90	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $128.82 / $141.25	Professional		$60.26	$128.82	$141.25
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $93.33	Facility		$87.10	$87.10	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $144.54 / $478.63	Professional		$91.20	$144.54	$478.63