Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $98.58 / $98.58	Professional		$98.58	$98.58	$98.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $53.00 / $53.00	Facility		$53.00	$53.00	$53.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $75.00	Professional		$53.00	$53.00	$75.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $98.58 / $140.97	Facility		$53.00	$98.58	$140.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $53.00 / $79.50	Professional		$53.00	$53.00	$79.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.18 / $1,824.00 / $3,495.87	Facility		$116.18	$1,824.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $946.20 / $1,254.00 / $1,368.00	Professional		$946.20	$1,254.00	$1,368.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.00 / $98.58 / $2,280.00	Facility		$53.00	$98.58	$2,280.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $103.22 / $1,710.00	Professional		$53.00	$103.22	$1,710.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $159.00	Professional		$79.50	$79.50	$159.00