Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.12 / $73.12 / $73.12	Professional		$73.12	$73.12	$73.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $39.31 / $39.31	Facility		$39.31	$39.31	$39.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $55.63	Professional		$39.31	$39.31	$55.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.55 / $73.12 / $104.56	Facility		$41.55	$73.12	$104.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $80.78	Professional		$39.31	$39.31	$80.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,596.00 / $1,824.00 / $3,495.87	Facility		$1,596.00	$1,824.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $969.00 / $1,254.00 / $1,368.00	Professional		$969.00	$1,254.00	$1,368.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.31 / $73.12 / $1,500.00	Facility		$39.31	$73.12	$1,500.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $158.33 / $900.00	Professional		$39.31	$158.33	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.97 / $58.97 / $117.93	Professional		$58.97	$58.97	$117.93