Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $141.53 / $141.53	Professional		$141.53	$141.53	$141.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $76.09 / $76.09	Facility		$76.09	$76.09	$76.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $107.67	Professional		$76.09	$76.09	$107.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.23 / $141.53 / $202.39	Facility		$79.23	$141.53	$202.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $76.09 / $114.14	Professional		$76.09	$76.09	$114.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.35 / $536.79 / $3,495.87	Facility		$128.35	$536.79	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.47 / $369.05 / $402.60	Professional		$278.47	$369.05	$402.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $141.53 / $671.00	Facility		$76.09	$141.53	$671.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $115.55 / $402.60	Professional		$76.09	$115.55	$402.60
United Facility/Professional Professional Modifier Low / Median / High Price $114.14 / $114.14 / $228.27	Professional		$114.14	$114.14	$228.27