Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $128.82 / $194.98	Professional		$97.72	$128.82	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $302.00	Professional		$147.91	$147.91	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $194.98 / $275.42	Facility		$95.50	$194.98	$275.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $512.86	Professional		$194.98	$309.03	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $177.83 / $269.15	Facility		$95.50	$177.83	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $269.15	Professional		$125.89	$125.89	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $380.19	Professional		$125.89	$190.55	$380.19