Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $177.83 / $275.42	Professional		$100.00	$177.83	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $218.78	Professional		$154.88	$154.88	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $309.03 / $309.03	Facility		$69.18	$309.03	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $309.03 / $489.78	Professional		$93.33	$309.03	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $309.03 / $331.13	Facility		$144.54	$309.03	$331.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $323.59	Professional		$269.15	$309.03	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $302.00	Facility		$69.18	$69.18	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $213.80 / $251.19	Professional		$60.26	$213.80	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $162.18	Facility		$151.36	$151.36	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $831.76	Professional		$162.18	$257.04	$831.76