Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.73 / $231.73 / $231.73	Professional		$231.73	$231.73	$231.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.41 / $134.41 / $134.41	Facility		$134.41	$134.41	$134.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $134.41 / $134.41	Professional		$114.26	$134.41	$134.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.75 / $120.81 / $183.30	Facility		$67.75	$120.81	$183.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $207.90 / $221.33	Professional		$21.03	$207.90	$221.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $156.63 / $445.72	Professional		$21.62	$156.63	$445.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.13 / $121.91 / $181.21	Facility		$76.13	$121.91	$181.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $114.26 / $134.41 / $134.41	Professional		$114.26	$134.41	$134.41
United Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $211.63 / $386.46	Professional		$110.42	$211.63	$386.46