Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $439.34 / $439.34 / $439.34	Professional		$439.34	$439.34	$439.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $240.34 / $240.34 / $240.34	Facility		$240.34	$240.34	$240.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $240.34 / $247.55	Professional		$204.29	$240.34	$247.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $138.71 / $235.39 / $350.24	Facility		$138.71	$235.39	$350.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $39.74 / $41.83	Professional		$39.72	$39.74	$41.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.71 / $332.20 / $828.50	Professional		$34.71	$332.20	$828.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.14 / $240.34 / $346.26	Facility		$171.14	$240.34	$346.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.29 / $240.34 / $247.55	Professional		$204.29	$240.34	$247.55
United Facility/Professional Professional Modifier Low / Median / High Price $208.26 / $399.17 / $728.91	Professional		$208.26	$399.17	$728.91