Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.27 / $163.27 / $163.27	Professional		$163.27	$163.27	$163.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Facility		$102.80	$102.80	$102.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $102.80 / $102.80	Professional		$102.80	$102.80	$102.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.94 / $163.27 / $228.58	Facility		$120.94	$163.27	$228.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.28 / $151.28 / $151.28	Professional		$151.28	$151.28	$151.28
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.32 / $193.50 / $3,495.87	Facility		$169.32	$193.50	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $133.03 / $145.13	Professional		$102.80	$133.03	$145.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.94 / $163.27 / $241.88	Facility		$120.94	$163.27	$241.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $145.13 / $151.18	Professional		$102.80	$145.13	$151.18
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $302.33	Professional		$151.16	$151.16	$302.33