Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $87.10 / $128.82	Professional		$85.11	$87.10	$128.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $131.83	Professional		$109.65	$109.65	$131.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $102.33 / $141.25	Facility		$46.77	$102.33	$141.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $346.74	Professional		$102.33	$141.25	$346.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $125.89	Facility		$102.33	$102.33	$125.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $102.33 / $125.89	Professional		$83.18	$102.33	$125.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $147.91	Facility		$46.77	$46.77	$147.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $131.83	Professional		$60.26	$109.65	$131.83
United Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $109.65	Facility		$95.50	$95.50	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $263.03	Professional		$52.48	$52.48	$263.03