Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $177.83	Professional		$67.61	$81.28	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $85.11	Professional		$58.88	$58.88	$85.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $120.23 / $204.17	Facility		$39.81	$120.23	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $380.19	Professional		$120.23	$204.17	$380.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $204.17 / $213.80	Facility		$107.15	$204.17	$213.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $208.93	Professional		$165.96	$204.17	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $173.78	Facility		$39.81	$39.81	$173.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $79.43 / $117.49	Professional		$58.88	$79.43	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $69.18	Facility		$61.66	$61.66	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $524.81	Professional		$91.20	$154.88	$524.81