Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.56 / $207.56 / $207.56	Professional		$207.56	$207.56	$207.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $153.75 / $207.56 / $290.58	Facility		$153.75	$207.56	$290.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $192.19 / $192.19 / $192.19	Professional		$192.19	$192.19	$192.19
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.75 / $114.00 / $3,495.87	Facility		$99.75	$114.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $78.38 / $85.50	Professional		$60.56	$78.38	$85.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.50 / $207.56 / $290.58	Facility		$142.50	$207.56	$290.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.25 / $85.50 / $130.69	Professional		$71.25	$85.50	$130.69
United Facility/Professional Professional Modifier Low / Median / High Price $192.20 / $192.20 / $384.39	Professional		$192.20	$192.20	$384.39