Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $114.82 / $208.93	Professional		$112.20	$114.82	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $158.49	Professional		$112.20	$112.20	$158.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $295.12	Facility		$112.20	$141.25	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $562.34	Professional		$194.98	$309.03	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $1,548.82 / $3,467.37	Facility		$194.98	$1,548.82	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,071.52 / $1,174.90	Professional		$977.24	$1,071.52	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $177.83 / $1,071.52	Facility		$112.20	$177.83	$1,071.52
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 / $389.05 / $2,041.74	Professional		$177.83	$389.05	$2,041.74