Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $91.20 / $165.96	Professional		$89.13	$91.20	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $125.89	Professional		$89.13	$89.13	$125.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $165.96 / $234.42	Facility		$89.13	$165.96	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $302.00 / $512.86	Professional		$141.25	$302.00	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $363.08 / $3,467.37	Facility		$141.25	$363.08	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $245.47 / $269.15	Professional		$223.87	$245.47	$269.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $165.96 / $245.47	Facility		$89.13	$165.96	$245.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $125.89 / $125.89	Professional		$60.26	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $630.96	Professional		$177.83	$338.84	$630.96