Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $134.90	Professional		$83.18	$91.20	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $104.71	Professional		$72.44	$72.44	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $131.83 / $147.91	Facility		$44.67	$131.83	$147.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $501.19	Professional		$114.82	$154.88	$501.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $147.91 / $154.88	Facility		$134.90	$147.91	$154.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $147.91 / $154.88	Professional		$123.03	$147.91	$154.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $154.88	Facility		$44.67	$44.67	$154.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $144.54	Professional		$60.26	$100.00	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $79.43	Facility		$69.18	$69.18	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $114.82 / $380.19	Professional		$74.13	$114.82	$380.19