Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.53 / $136.53 / $136.53	Professional		$136.53	$136.53	$136.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Facility		$85.96	$85.96	$85.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $85.96 / $85.96	Professional		$85.96	$85.96	$85.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.59 / $136.53 / $191.14	Facility		$92.59	$136.53	$191.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.47 / $113.53 / $170.59	Professional		$79.47	$113.53	$170.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.58 / $161.81 / $469.07	Facility		$141.58	$161.81	$469.07
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $111.24 / $121.36	Professional		$85.96	$111.24	$121.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.59 / $136.53 / $302.47	Facility		$92.59	$136.53	$302.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.96 / $121.34 / $126.40	Professional		$85.96	$121.34	$126.40
United Facility/Professional Professional Modifier Low / Median / High Price $204.71 / $204.71 / $409.41	Professional		$204.71	$204.71	$409.41