Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.26 / $170.26 / $170.26	Professional		$170.26	$170.26	$170.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $91.54 / $91.54	Facility		$91.54	$91.54	$91.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $129.54	Professional		$91.54	$91.54	$129.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.72 / $170.26 / $238.36	Facility		$67.72	$170.26	$238.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.54 / $91.54 / $113.51	Professional		$91.54	$91.54	$113.51
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.22 / $256.00 / $3,495.87	Facility		$104.22	$256.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.80 / $176.00 / $192.00	Professional		$132.80	$176.00	$192.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.54 / $170.26 / $320.00	Facility		$91.54	$170.26	$320.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $94.89 / $192.00	Professional		$78.62	$94.89	$192.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.31 / $137.31 / $274.62	Professional		$137.31	$137.31	$274.62