Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $101.92 / $134.53	Professional		$69.45	$101.92	$134.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $84.97	Facility		$84.97	$84.97	$84.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $84.97 / $90.58	Professional		$62.03	$84.97	$90.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $49.72 / $49.72	Facility		$49.72	$49.72	$49.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.87 / $112.23 / $177.21	Professional		$64.87	$112.23	$177.21
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $77.84 / $115.13	Facility		$77.84	$77.84	$115.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.84 / $123.11 / $307.77	Professional		$85.84	$123.11	$307.77
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.72 / $49.72 / $84.97	Facility		$49.72	$49.72	$84.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $95.67 / $139.49	Professional		$77.84	$95.67	$139.49
United Facility/Professional Professional Modifier Low / Median / High Price $73.87 / $146.13 / $190.61	Professional		$73.87	$146.13	$190.61