Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.58 / $235.58 / $235.58	Professional		$235.58	$235.58	$235.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $130.68	Facility		$130.68	$130.68	$130.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $134.60	Professional		$111.08	$130.68	$134.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.96 / $133.96 / $187.46	Facility		$133.96	$133.96	$187.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $175.43 / $226.06	Professional		$22.22	$175.43	$226.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $22.01 / $187.04	Professional		$17.50	$22.01	$187.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.96 / $133.96 / $178.54	Facility		$133.96	$133.96	$178.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $134.60	Professional		$111.08	$130.68	$134.60
United Facility/Professional Professional Modifier Low / Median / High Price $111.55 / $213.81 / $390.43	Professional		$111.55	$213.81	$390.43