Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $120.23 / $234.42	Professional		$95.50	$120.23	$234.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $107.15	Professional		$72.44	$72.44	$107.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $169.82 / $263.03	Facility		$51.29	$169.82	$263.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $263.03 / $575.44	Professional		$181.97	$263.03	$575.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $263.03 / $275.42	Facility		$162.18	$263.03	$275.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $263.03 / $269.15	Professional		$213.80	$263.03	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $218.78	Facility		$51.29	$51.29	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $100.00 / $177.83	Professional		$60.26	$100.00	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $120.23	Facility		$104.71	$104.71	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $389.05	Professional		$120.23	$134.90	$389.05