Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $105.86 / $105.86	Professional		$105.86	$105.86	$105.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $47.79 / $47.79	Professional		$47.79	$47.79	$47.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.86 / $116.45 / $151.38	Facility		$105.86	$116.45	$151.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.08 / $113.08 / $113.08	Professional		$113.08	$113.08	$113.08
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
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.80 / $98.80 / $98.80	Professional		$98.80	$98.80	$98.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.86 / $116.45 / $195.88	Facility		$105.86	$116.45	$195.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.79 / $113.29 / $139.49	Professional		$47.79	$113.29	$139.49
United Facility/Professional Professional Modifier Low / Median / High Price $59.38 / $59.38 / $296.88	Professional		$59.38	$59.38	$296.88