Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.59 / $193.59 / $193.59	Professional		$193.59	$193.59	$193.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.59 / $193.59 / $271.02	Facility		$193.59	$193.59	$271.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,495.87 / $3,495.87 / $3,495.87	Facility		$3,495.87	$3,495.87	$3,495.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.59 / $193.59 / $271.02	Facility		$193.59	$193.59	$271.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $266.50 / $266.50	Professional		$147.91	$266.50	$266.50
United Facility/Professional Professional Modifier Low / Median / High Price $514.30 / $514.30 / $1,028.60	Professional		$514.30	$514.30	$1,028.60