Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $117.49	Professional		$48.98	$75.86	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $107.15 / $141.25	Facility		$93.33	$107.15	$141.25
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 $154.88 / $239.88 / $3,467.37	Facility		$154.88	$239.88	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $120.23 / $131.83	Professional		$109.65	$120.23	$131.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $134.90 / $181.97	Facility		$75.86	$134.90	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $354.81	Professional		$125.89	$190.55	$354.81