Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.90 / $166.20 / $212.95	Professional		$112.90	$166.20	$212.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.07 / $127.07 / $127.07	Facility		$127.07	$127.07	$127.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.76 / $92.76 / $92.76	Professional		$92.76	$92.76	$92.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.06 / $132.06 / $132.06	Facility		$132.06	$132.06	$132.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $184.32 / $194.02 / $582.05	Professional		$184.32	$194.02	$582.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.89 / $169.89 / $189.47	Facility		$169.89	$169.89	$189.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.53 / $189.47 / $390.75	Professional		$153.53	$189.47	$390.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.06 / $132.06 / $132.06	Facility		$132.06	$132.06	$132.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $161.33 / $390.75	Professional		$135.91	$161.33	$390.75
United Facility/Professional Professional Modifier Low / Median / High Price $96.80 / $185.53 / $242.00	Professional		$96.80	$185.53	$242.00