Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.25 / $239.25 / $239.25	Professional		$239.25	$239.25	$239.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $153.77	Facility		$153.77	$153.77	$153.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $153.77 / $153.77	Professional		$130.69	$153.77	$153.77
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.06 / $135.90 / $209.70	Facility		$83.06	$135.90	$209.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $21.72 / $21.72	Professional		$21.72	$21.72	$21.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $22.32 / $460.25	Professional		$18.14	$22.32	$460.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.95 / $136.94 / $207.32	Facility		$87.95	$136.94	$207.32
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $153.77 / $153.77	Professional		$130.69	$153.77	$153.77
United Facility/Professional Professional Modifier Low / Median / High Price $117.90 / $225.98 / $394.30	Professional		$117.90	$225.98	$394.30