Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.66 / $213.66 / $213.66	Professional		$213.66	$213.66	$213.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $114.47	Facility		$114.47	$114.47	$114.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $117.90	Professional		$97.30	$114.47	$117.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.30 / $105.59 / $154.77	Facility		$74.30	$105.59	$154.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $163.33 / $209.24	Professional		$20.95	$163.33	$209.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.22 / $142.71 / $380.40	Professional		$15.22	$142.71	$380.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $76.01 / $106.95 / $153.01	Facility		$76.01	$106.95	$153.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $117.90	Professional		$97.30	$114.47	$117.90
United Facility/Professional Professional Modifier Low / Median / High Price $101.32 / $211.09 / $365.49	Professional		$101.32	$211.09	$365.49