Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $83.18 / $147.91	Professional		$77.62	$83.18	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $95.50	Professional		$64.57	$64.57	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $134.90 / $165.96	Facility		$45.71	$134.90	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $426.58	Professional		$134.90	$165.96	$426.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $165.96 / $173.78	Facility		$123.03	$165.96	$173.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $165.96 / $169.82	Professional		$138.04	$165.96	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $177.83	Facility		$45.71	$45.71	$177.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $134.90	Professional		$60.26	$89.13	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $79.43	Facility		$69.18	$69.18	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $128.82 / $426.58	Professional		$83.18	$128.82	$426.58