Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $173.78	Professional		$50.12	$63.10	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $57.54	Professional		$39.81	$39.81	$57.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $95.50 / $194.98	Facility		$27.54	$95.50	$194.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $323.59	Professional		$102.33	$194.98	$323.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $199.53 / $208.93	Facility		$93.33	$199.53	$208.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $204.17	Professional		$162.18	$199.53	$204.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $117.49	Facility		$27.54	$27.54	$117.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $100.00	Professional		$39.81	$60.26	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $48.98	Facility		$42.66	$42.66	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $151.36 / $501.19	Professional		$64.57	$151.36	$501.19