Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.23 / $166.23 / $166.23	Facility		$166.23	$166.23	$166.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.08 / $183.08 / $260.67	Professional		$183.08	$183.08	$260.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,405.03 / $2,405.03 / $2,405.03	Facility		$2,405.03	$2,405.03	$2,405.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $129.10 / $219.41	Professional		$92.03	$129.10	$219.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $68.63 / $261.80	Facility		$68.63	$68.63	$261.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $178.56 / $385.99	Professional		$148.80	$178.56	$385.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $251.10 / $355.37	Professional		$188.75	$251.10	$355.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.63 / $82.36 / $2,405.03	Facility		$68.63	$82.36	$2,405.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $188.75 / $335.58	Professional		$80.40	$188.75	$335.58
United Facility/Professional Professional Modifier Low / Median / High Price $65.80 / $158.94 / $336.00	Professional		$65.80	$158.94	$336.00