Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $123.03	Professional		$40.74	$40.74	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $45.71	Professional		$30.90	$30.90	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $79.43 / $141.25	Facility		$21.88	$79.43	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $141.25 / $223.87	Professional		$67.61	$141.25	$223.87
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $141.25 / $147.91	Facility		$61.66	$141.25	$147.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $141.25 / $144.54	Professional		$114.82	$141.25	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $95.50	Facility		$21.88	$21.88	$95.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $66.07	Professional		$30.90	$51.29	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $38.90	Facility		$33.88	$33.88	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $109.65 / $363.08	Professional		$51.29	$109.65	$363.08