Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.74 / $206.74 / $206.74	Professional		$206.74	$206.74	$206.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $111.15 / $111.15	Facility		$111.15	$111.15	$111.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $157.29	Professional		$111.15	$111.15	$157.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $130.26 / $206.74 / $295.64	Facility		$130.26	$206.74	$295.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $111.15 / $166.73	Professional		$111.15	$111.15	$166.73
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.12 / $758.40 / $3,495.87	Facility		$549.12	$758.40	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.42 / $521.40 / $568.79	Professional		$393.42	$521.40	$568.79
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.15 / $206.74 / $948.00	Facility		$111.15	$206.74	$948.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $428.64 / $568.79	Professional		$111.15	$428.64	$568.79
United Facility/Professional Professional Modifier Low / Median / High Price $166.73 / $166.73 / $333.45	Professional		$166.73	$166.73	$333.45