Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $141.25 / $263.03	Professional		$120.23	$141.25	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $181.97	Professional		$125.89	$125.89	$181.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $234.42 / $295.12	Facility		$64.57	$234.42	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $707.95	Professional		$223.87	$295.12	$707.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $295.12 / $309.03	Facility		$204.17	$295.12	$309.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $302.00	Professional		$239.88	$295.12	$302.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $275.42	Facility		$64.57	$64.57	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $169.82 / $218.78	Professional		$60.26	$169.82	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $151.36	Facility		$134.90	$134.90	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $151.36 / $489.78	Professional		$144.54	$151.36	$489.78