Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $91.20 / $162.18	Professional		$87.10	$91.20	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $125.89	Professional		$87.10	$87.10	$125.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $162.18 / $234.42	Facility		$104.71	$162.18	$234.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $302.00 / $512.86	Professional		$190.55	$302.00	$512.86
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $3,467.37	Facility		$120.23	$120.23	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Professional		$81.28	$81.28	$85.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $144.54 / $229.09	Facility		$87.10	$144.54	$229.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $125.89 / $125.89	Professional		$120.23	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $190.55 / $354.81	Professional		$125.89	$190.55	$354.81