Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $81.28 / $144.54	Professional		$77.62	$81.28	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $109.65	Professional		$77.62	$77.62	$109.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $93.33 / $158.49	Facility		$77.62	$93.33	$158.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $512.86	Professional		$141.25	$302.00	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $3,467.37	Facility		$128.82	$128.82	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $89.13	Professional		$85.11	$85.11	$89.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $144.54 / $208.93	Facility		$77.62	$144.54	$208.93
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 $117.49 / $190.55 / $354.81	Professional		$117.49	$190.55	$354.81