Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $294.80 / $294.80 / $294.80	Professional		$294.80	$294.80	$294.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $174.27 / $174.27	Facility		$174.27	$174.27	$174.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $174.27 / $174.27	Professional		$148.13	$174.27	$174.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.01 / $146.86 / $224.22	Facility		$94.01	$146.86	$224.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $26.96 / $28.38	Professional		$26.88	$26.96	$28.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $232.90 / $599.96	Professional		$22.53	$232.90	$599.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.27 / $152.03 / $221.68	Facility		$108.27	$152.03	$221.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $148.13 / $174.27 / $174.27	Professional		$148.13	$174.27	$174.27
United Facility/Professional Professional Modifier Low / Median / High Price $130.49 / $250.10 / $521.04	Professional		$130.49	$250.10	$521.04