Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.32 / $141.32 / $141.32	Professional		$141.32	$141.32	$141.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $78.15 / $78.15	Facility		$78.15	$78.15	$78.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $78.15 / $80.48	Professional		$66.43	$78.15	$80.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $68.65 / $102.60	Facility		$46.08	$68.65	$102.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $12.97 / $102.47 / $135.63	Professional		$12.97	$102.47	$135.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $99.43 / $167.01	Professional		$13.20	$99.43	$167.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.37 / $70.93 / $101.43	Facility		$50.37	$70.93	$101.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $78.15 / $80.48	Professional		$66.43	$78.15	$80.48
United Facility/Professional Professional Modifier Low / Median / High Price $66.47 / $127.41 / $232.66	Professional		$66.47	$127.41	$232.66