Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.09 / $116.09 / $116.09	Professional		$116.09	$116.09	$116.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $62.41 / $62.41	Facility		$62.41	$62.41	$62.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $88.32	Professional		$62.41	$62.41	$88.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.81 / $116.09 / $162.53	Facility		$59.81	$116.09	$162.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $62.41 / $93.62	Professional		$62.41	$62.41	$93.62
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.87 / $156.00 / $3,495.87	Facility		$89.87	$156.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.22 / $107.25 / $117.00	Professional		$70.22	$107.25	$117.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.41 / $116.09 / $195.00	Facility		$62.41	$116.09	$195.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $62.41 / $105.02 / $117.00	Professional		$62.41	$105.02	$117.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.62 / $93.62 / $187.23	Professional		$93.62	$93.62	$187.23