Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.54 / $122.54 / $122.54	Professional		$122.54	$122.54	$122.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $65.88 / $65.88	Facility		$65.88	$65.88	$65.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $93.23	Professional		$65.88	$65.88	$93.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.34 / $122.54 / $175.23	Facility		$66.34	$122.54	$175.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $65.88 / $85.64	Professional		$65.88	$65.88	$85.64
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.67 / $288.00 / $3,495.87	Facility		$96.67	$288.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.67 / $198.00 / $216.00	Professional		$96.67	$198.00	$216.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $122.54 / $360.00	Facility		$65.88	$122.54	$360.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $80.06 / $216.00	Professional		$65.88	$80.06	$216.00
United Facility/Professional Professional Modifier Low / Median / High Price $98.82 / $98.82 / $197.64	Professional		$98.82	$98.82	$197.64