Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $534.38 / $534.38 / $534.38	Professional		$534.38	$534.38	$534.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $172.77 / $172.77	Facility		$172.77	$172.77	$172.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $172.77 / $177.95	Professional		$146.85	$172.77	$177.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.27 / $287.27 / $427.50	Facility		$169.27	$287.27	$427.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.49 / $48.49 / $51.04	Professional		$48.49	$48.49	$51.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.84 / $365.14 / $411.10	Professional		$49.84	$365.14	$411.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $172.77 / $281.76 / $422.65	Facility		$172.77	$281.76	$422.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.85 / $172.77 / $177.95	Professional		$146.85	$172.77	$177.95
United Facility/Professional Professional Modifier Low / Median / High Price $240.15 / $460.29 / $804.33	Professional		$240.15	$460.29	$804.33