Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.85 / $198.85 / $198.85	Professional		$198.85	$198.85	$198.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.60 / $96.60 / $96.60	Facility		$96.60	$96.60	$96.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $96.60 / $99.50	Professional		$82.11	$96.60	$99.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.26 / $95.94 / $133.10	Facility		$74.26	$95.94	$133.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $25.64 / $141.79 / $190.64	Professional		$25.64	$141.79	$190.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.32 / $184.03 / $300.00	Professional		$26.32	$184.03	$300.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.26 / $96.54 / $133.10	Facility		$74.26	$96.54	$133.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.11 / $96.60 / $99.50	Professional		$82.11	$96.60	$99.50
United Facility/Professional Professional Modifier Low / Median / High Price $94.16 / $180.47 / $315.80	Professional		$94.16	$180.47	$315.80