Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $125.13 / $125.13	Professional		$125.13	$125.13	$125.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $67.27 / $67.27	Facility		$67.27	$67.27	$67.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $95.20	Professional		$67.27	$67.27	$95.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $125.13 / $178.94	Facility		$66.31	$125.13	$178.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $87.45	Professional		$67.27	$67.27	$87.45
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $285.19 / $325.94 / $3,495.87	Facility		$285.19	$325.94	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.08 / $224.08 / $244.45	Professional		$169.08	$224.08	$244.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $125.13 / $410.00	Facility		$67.27	$125.13	$410.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $97.75 / $246.00	Professional		$67.27	$97.75	$246.00
United Facility/Professional Professional Modifier Low / Median / High Price $100.91 / $100.91 / $201.81	Professional		$100.91	$100.91	$201.81