Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $151.36 / $218.78	Professional		$138.04	$151.36	$218.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $177.83	Professional		$123.03	$123.03	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $218.78 / $245.47	Facility		$74.13	$218.78	$245.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $831.76	Professional		$186.21	$257.04	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $245.47 / $257.04	Facility		$223.87	$245.47	$257.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $245.47 / $251.19	Professional		$199.53	$245.47	$251.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $257.04	Facility		$74.13	$74.13	$257.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $169.82 / $239.88	Professional		$60.26	$169.82	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $131.83	Facility		$114.82	$114.82	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $190.55 / $630.96	Professional		$123.03	$190.55	$630.96