Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $102.33 / $120.23	Professional		$97.72	$102.33	$120.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $120.23 / $177.83	Facility		$102.33	$120.23	$177.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $512.86	Professional		$194.98	$309.03	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $194.98 / $407.38	Facility		$102.33	$194.98	$407.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $131.83 / $144.54	Professional		$120.23	$131.83	$144.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $131.83 / $181.97	Facility		$69.18	$131.83	$181.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $125.89	Professional		$60.26	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $380.19	Professional		$125.89	$190.55	$380.19