Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.87 / $148.87 / $148.87	Professional		$148.87	$148.87	$148.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $80.04 / $80.04	Facility		$80.04	$80.04	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $113.26	Professional		$80.04	$80.04	$113.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $148.87 / $212.88	Facility		$80.04	$148.87	$212.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $80.04 / $104.05	Professional		$80.04	$80.04	$104.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $824.60 / $942.40 / $3,495.87	Facility		$824.60	$942.40	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $589.00 / $659.68 / $706.80	Professional		$589.00	$659.68	$706.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.04 / $148.87 / $1,178.00	Facility		$80.04	$148.87	$1,178.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.04 / $706.80 / $780.43	Professional		$80.04	$706.80	$780.43
United Facility/Professional Professional Modifier Low / Median / High Price $120.06 / $120.06 / $243.58	Professional		$120.06	$120.06	$243.58