Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.50 / $256.50 / $256.50	Professional		$256.50	$256.50	$256.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Facility		$161.50	$161.50	$161.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $161.50 / $161.50	Professional		$161.50	$161.50	$161.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $256.50 / $359.10	Facility		$65.92	$256.50	$359.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $222.00 / $222.00 / $222.00	Professional		$222.00	$222.00	$222.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.00 / $304.00 / $3,495.87	Facility		$266.00	$304.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $209.00 / $228.00	Professional		$161.50	$209.00	$228.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.92 / $256.50 / $380.00	Facility		$65.92	$256.50	$380.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.50 / $203.25 / $228.00	Professional		$161.50	$203.25	$228.00
United Facility/Professional Professional Modifier Low / Median / High Price $251.27 / $255.91 / $502.53	Professional		$251.27	$255.91	$502.53