Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $94.33 / $94.33	Professional		$94.33	$94.33	$94.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.71 / $50.71 / $50.71	Facility		$50.71	$50.71	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $50.71 / $71.77	Professional		$50.71	$50.71	$71.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.41 / $94.33 / $132.06	Facility		$45.41	$94.33	$132.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.72 / $50.72 / $65.94	Professional		$50.72	$50.72	$65.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.56 / $184.00 / $3,495.87	Facility		$78.56	$184.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.45 / $126.50 / $138.00	Professional		$95.45	$126.50	$138.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.72 / $94.33 / $230.00	Facility		$50.72	$94.33	$230.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.71 / $57.91 / $138.00	Professional		$50.71	$57.91	$138.00
United Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $76.08 / $152.16	Professional		$76.08	$76.08	$152.16