Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $645.04 / $645.04 / $645.04	Professional		$645.04	$645.04	$645.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $327.62 / $327.62	Facility		$327.62	$327.62	$327.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $327.62 / $337.45	Professional		$278.48	$327.62	$337.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $206.34 / $292.88 / $426.36	Facility		$206.34	$292.88	$426.36
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $59.09 / $62.20	Professional		$58.81	$59.09	$62.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.40 / $60.28 / $762.32	Professional		$49.40	$60.28	$762.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $208.34 / $296.68 / $421.52	Facility		$208.34	$296.68	$421.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $327.62 / $337.45	Professional		$278.48	$327.62	$337.45
United Facility/Professional Professional Modifier Low / Median / High Price $253.95 / $486.74 / $1,136.50	Professional		$253.95	$486.74	$1,136.50