Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $102.33	Professional		$33.11	$47.86	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $52.48	Professional		$35.48	$35.48	$52.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $69.18 / $117.49	Facility		$19.50	$69.18	$117.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $117.49 / $245.47	Professional		$77.62	$117.49	$245.47
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $117.49 / $123.03	Facility		$70.79	$117.49	$123.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $120.23	Professional		$95.50	$117.49	$120.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $83.18	Facility		$19.50	$19.50	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $60.26 / $77.62	Professional		$35.48	$60.26	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $33.88	Facility		$30.20	$30.20	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $89.13 / $302.00	Professional		$45.71	$89.13	$302.00