Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.48 / $182.48 / $182.48	Professional		$182.48	$182.48	$182.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $138.83	Professional		$98.11	$98.11	$138.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.40 / $182.48 / $260.95	Facility		$100.40	$182.48	$260.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $98.11 / $127.54	Professional		$98.11	$98.11	$127.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.36 / $451.84 / $3,495.87	Facility		$395.36	$451.84	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.39 / $310.64 / $338.88	Professional		$234.39	$310.64	$338.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $182.48 / $564.79	Facility		$98.11	$182.48	$564.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.11 / $282.39 / $338.88	Professional		$98.11	$282.39	$338.88
United Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $147.16 / $294.33	Professional		$147.16	$147.16	$294.33