Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $141.25	Professional		$70.79	$77.62	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $104.71	Professional		$70.79	$70.79	$104.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $154.88 / $154.88	Facility		$38.02	$154.88	$154.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $154.88 / $389.05	Professional		$123.03	$154.88	$389.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $154.88 / $162.18	Facility		$112.20	$154.88	$162.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $154.88 / $158.49	Professional		$125.89	$154.88	$158.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $158.49	Facility		$38.02	$38.02	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $120.23	Professional		$60.26	$95.50	$120.23
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $89.13	Facility		$77.62	$77.62	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $79.43 / $281.84	Professional		$77.62	$79.43	$281.84