Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.19 / $189.19 / $189.19	Professional		$189.19	$189.19	$189.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $101.72 / $101.72	Facility		$101.72	$101.72	$101.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $143.94	Professional		$101.72	$101.72	$143.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.72 / $189.19 / $270.54	Facility		$100.72	$189.19	$270.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $101.72 / $147.78	Professional		$101.72	$101.72	$147.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.13 / $432.91 / $3,495.87	Facility		$176.13	$432.91	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.57 / $297.63 / $324.68	Professional		$224.57	$297.63	$324.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $189.19 / $541.14	Facility		$101.72	$189.19	$541.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.72 / $129.13 / $324.68	Professional		$101.72	$129.13	$324.68
United Facility/Professional Professional Modifier Low / Median / High Price $152.58 / $152.58 / $305.16	Professional		$152.58	$152.58	$305.16