Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $512.86	Professional		$128.82	$141.25	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $162.18	Professional		$112.20	$112.20	$162.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $199.53 / $223.87	Facility		$69.18	$199.53	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $239.88 / $758.58	Professional		$141.25	$239.88	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $229.09 / $239.88	Facility		$204.17	$229.09	$239.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $234.42	Professional		$186.21	$229.09	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $251.19	Facility		$69.18	$69.18	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $223.87	Professional		$60.26	$151.36	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $123.03	Facility		$104.71	$104.71	$123.03
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $575.44	Professional		$112.20	$204.17	$575.44