Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $381.70 / $381.70	Professional		$381.70	$381.70	$381.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.86 / $178.86 / $178.86	Facility		$178.86	$178.86	$178.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $152.03 / $152.03	Professional		$152.03	$152.03	$152.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $132.97 / $173.03 / $250.27	Facility		$132.97	$173.03	$250.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $34.78 / $34.78	Professional		$34.78	$34.78	$34.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.69 / $254.96 / $642.25	Professional		$25.69	$254.96	$642.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $132.97 / $173.78 / $250.27	Facility		$132.97	$173.78	$250.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $152.03 / $152.03 / $152.03	Professional		$152.03	$152.03	$152.03
United Facility/Professional Professional Modifier Low / Median / High Price $123.47 / $236.65 / $571.57	Professional		$123.47	$236.65	$571.57