Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.00 / $243.00 / $243.00	Professional		$243.00	$243.00	$243.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $243.00 / $340.20	Facility		$180.00	$243.00	$340.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $225.00	Professional		$225.00	$225.00	$225.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.00 / $288.00 / $3,495.87	Facility		$252.00	$288.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $198.00 / $216.00	Professional		$153.00	$198.00	$216.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $243.00 / $360.00	Facility		$180.00	$243.00	$360.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $216.00 / $225.00	Professional		$153.00	$216.00	$225.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $280.91 / $540.00	Professional		$270.00	$280.91	$540.00