Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.06 / $206.06 / $206.06	Professional		$206.06	$206.06	$206.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $115.90	Facility		$115.90	$115.90	$115.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $119.38	Professional		$98.52	$115.90	$119.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.33 / $100.25 / $148.03	Facility		$72.33	$100.25	$148.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.78 / $150.44 / $197.69	Professional		$18.78	$150.44	$197.69
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $19.26 / $162.87	Professional		$14.49	$19.26	$162.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $102.14 / $146.35	Facility		$75.31	$102.14	$146.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $119.38	Professional		$98.52	$115.90	$119.38
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $187.30 / $327.39	Professional		$97.72	$187.30	$327.39