Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $177.83	Professional		$112.20	$123.03	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $154.88	Professional		$109.65	$109.65	$154.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $173.78 / $199.53	Facility		$60.26	$173.78	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $208.93 / $676.08	Professional		$151.36	$208.93	$676.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $199.53 / $208.93	Facility		$177.83	$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 $60.26 / $60.26 / $208.93	Facility		$60.26	$60.26	$208.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $147.91 / $194.98	Professional		$60.26	$147.91	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $107.15	Facility		$93.33	$93.33	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $512.86	Professional		$100.00	$154.88	$512.86