Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $128.82	Professional		$52.48	$52.48	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $69.18	Professional		$46.77	$46.77	$69.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $89.13 / $147.91	Facility		$28.18	$89.13	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $147.91 / $269.15	Professional		$85.11	$147.91	$269.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $147.91 / $154.88	Facility		$75.86	$147.91	$154.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $147.91 / $151.36	Professional		$120.23	$147.91	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $117.49	Facility		$28.18	$28.18	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $83.18	Professional		$46.77	$64.57	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $48.98	Facility		$43.65	$43.65	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $114.82 / $380.19	Professional		$66.07	$114.82	$380.19