Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $98.12 / $98.12	Professional		$98.12	$98.12	$98.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $52.75	Facility		$52.75	$52.75	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $74.65	Professional		$52.75	$52.75	$74.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.85 / $98.12 / $137.37	Facility		$48.85	$98.12	$137.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $68.58	Professional		$52.75	$52.75	$68.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.47 / $73.14 / $3,495.87	Facility		$67.47	$73.14	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $51.20 / $51.20	Professional		$51.20	$51.20	$51.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $98.12 / $137.37	Facility		$52.75	$98.12	$137.37
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $57.24 / $60.56	Professional		$52.75	$57.24	$60.56
United Facility/Professional Professional Modifier Low / Median / High Price $79.13 / $79.13 / $158.25	Professional		$79.13	$79.13	$158.25