Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $593.25 / $593.25 / $593.25	Professional		$593.25	$593.25	$593.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $292.50 / $292.50	Facility		$292.50	$292.50	$292.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $292.50 / $301.27	Professional		$248.63	$292.50	$301.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.31 / $321.08 / $495.80	Facility		$181.31	$321.08	$495.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.84 / $538.29 / $566.62	Professional		$53.84	$538.29	$566.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.34 / $70.12 / $456.43	Professional		$55.34	$70.12	$456.43
Providence Facility/Professional Facility Modifier Low / Median / High Price $211.53 / $309.94 / $490.17	Facility		$211.53	$309.94	$490.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $292.50 / $301.27	Professional		$248.63	$292.50	$301.27
United Facility/Professional Professional Modifier Low / Median / High Price $282.68 / $541.79 / $989.37	Professional		$282.68	$541.79	$989.37