Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.08 / $133.08 / $133.08	Professional		$133.08	$133.08	$133.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $71.55 / $71.55	Facility		$71.55	$71.55	$71.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $101.25	Professional		$71.55	$71.55	$101.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $133.08 / $186.31	Facility		$71.55	$133.08	$186.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $71.55 / $100.17	Professional		$71.55	$71.55	$100.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.82 / $166.69 / $3,495.87	Facility		$42.82	$166.69	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.55 / $114.60 / $125.02	Professional		$88.55	$114.60	$125.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.55 / $133.08 / $208.36	Facility		$71.55	$133.08	$208.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $71.55 / $79.81 / $125.02	Professional		$71.55	$79.81	$125.02
United Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $107.33 / $214.65	Professional		$107.33	$107.33	$214.65