Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $112.20 / $131.83	Professional		$107.15	$112.20	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $144.54 / $251.19	Facility		$112.20	$144.54	$251.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $177.83	Professional		$60.26	$109.65	$177.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $3,467.37	Facility		$85.11	$85.11	$3,467.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $134.90 / $251.19	Facility		$112.20	$134.90	$251.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $112.20	Professional		$60.26	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $75.86	Professional		$48.98	$48.98	$75.86