Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $213.80	Professional		$114.82	$131.83	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $134.90	Professional		$93.33	$93.33	$134.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $199.53 / $234.42	Facility		$61.66	$199.53	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $630.96	Professional		$199.53	$234.42	$630.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $251.19	Facility		$181.97	$239.88	$251.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $239.88 / $245.47	Professional		$194.98	$239.88	$245.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $245.47	Facility		$61.66	$61.66	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $194.98	Professional		$60.26	$125.89	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $144.54	Facility		$125.89	$125.89	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $123.03 / $467.74	Professional		$117.49	$123.03	$467.74