Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $91.20 / $147.91	Professional		$72.44	$91.20	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $95.50	Professional		$64.57	$64.57	$95.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $123.03 / $165.96	Facility		$38.90	$123.03	$165.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $165.96 / $407.38	Professional		$131.83	$165.96	$407.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $165.96 / $173.78	Facility		$117.49	$165.96	$173.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $169.82	Professional		$134.90	$165.96	$169.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $165.96	Facility		$38.90	$38.90	$165.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $128.82	Professional		$60.26	$89.13	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $91.20	Facility		$79.43	$79.43	$91.20
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $295.12	Professional		$83.18	$85.11	$295.12