Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $208.93	Professional		$107.15	$123.03	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $114.82	Professional		$81.28	$81.28	$114.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $181.97 / $239.88	Facility		$57.54	$181.97	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $616.60	Professional		$194.98	$239.88	$616.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $239.88 / $251.19	Facility		$177.83	$239.88	$251.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $245.47	Professional		$194.98	$239.88	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $245.47	Facility		$57.54	$57.54	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $194.98	Professional		$60.26	$112.20	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $102.33	Facility		$89.13	$89.13	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $181.97 / $616.60	Professional		$117.49	$181.97	$616.60