Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.65 / $121.65 / $121.65	Professional		$121.65	$121.65	$121.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.40 / $65.40 / $65.40	Facility		$65.40	$65.40	$65.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $65.40 / $92.55	Professional		$65.40	$65.40	$92.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $121.65 / $170.31	Facility		$65.41	$121.65	$170.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.41 / $65.41 / $95.24	Professional		$65.41	$65.41	$95.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.72 / $151.91 / $208.89	Facility		$98.72	$151.91	$208.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.81 / $104.45 / $113.94	Professional		$78.81	$104.45	$113.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.41 / $121.65 / $189.90	Facility		$65.41	$121.65	$189.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.40 / $78.48 / $113.94	Professional		$65.40	$78.48	$113.94
United Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $98.12 / $196.23	Professional		$98.12	$98.12	$196.23