Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $107.15 / $223.87	Professional		$91.20	$107.15	$223.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $120.23	Professional		$83.18	$83.18	$120.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $186.21 / $251.19	Facility		$51.29	$186.21	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $537.03	Professional		$169.82	$251.19	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $251.19 / $263.03	Facility		$154.88	$251.19	$263.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $251.19 / $257.04	Professional		$204.17	$251.19	$257.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $223.87	Facility		$51.29	$51.29	$223.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $165.96	Professional		$60.26	$112.20	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $104.71	Facility		$91.20	$91.20	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $128.82 / $389.05	Professional		$120.23	$128.82	$389.05