Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.54 / $221.54 / $221.54	Professional		$221.54	$221.54	$221.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $110.00	Facility		$110.00	$110.00	$110.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $93.50	Professional		$93.50	$93.50	$93.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $105.26 / $151.80	Facility		$79.00	$105.26	$151.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.18 / $23.62 / $24.86	Professional		$20.18	$23.62	$24.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.70 / $141.40 / $374.71	Professional		$20.70	$141.40	$374.71
Providence Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $108.67 / $150.08	Facility		$79.00	$108.67	$150.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $93.50	Professional		$93.50	$93.50	$93.50
United Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $157.76 / $288.08	Professional		$82.31	$157.76	$288.08