Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.07 / $93.07 / $93.07	Professional		$93.07	$93.07	$93.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Professional		$58.60	$58.60	$58.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.94 / $93.07 / $130.30	Facility		$68.94	$93.07	$130.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $86.23 / $86.23	Professional		$86.23	$86.23	$86.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $96.52 / $110.30 / $3,495.87	Facility		$96.52	$110.30	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $75.83 / $82.73	Professional		$58.60	$75.83	$82.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.94 / $93.07 / $137.88	Facility		$68.94	$93.07	$137.88
Providence Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $82.73 / $86.18	Professional		$58.60	$82.73	$86.18
United Facility/Professional Professional Modifier Low / Median / High Price $103.41 / $103.41 / $206.82	Professional		$103.41	$103.41	$206.82