Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $77.62 / $141.25	Professional		$75.86	$77.62	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $107.15	Professional		$75.86	$75.86	$107.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $141.25 / $199.53	Facility		$91.20	$141.25	$199.53
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $562.34	Professional		$194.98	$309.03	$562.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $1,819.70 / $3,467.37	Facility		$125.89	$1,819.70	$3,467.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,258.93 / $1,380.38	Professional		$1,148.15	$1,258.93	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $141.25 / $1,258.93	Facility		$75.86	$141.25	$1,258.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $147.91	Professional		$125.89	$125.89	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $389.05 / $2,398.83	Professional		$177.83	$389.05	$2,398.83