Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.93 / $185.93 / $185.93	Professional		$185.93	$185.93	$185.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $100.30 / $100.30	Facility		$100.30	$100.30	$100.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $103.31	Professional		$85.26	$100.30	$103.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.67 / $87.89 / $129.97	Facility		$60.67	$87.89	$129.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $134.90 / $178.44	Professional		$17.05	$134.90	$178.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $142.86 / $355.00	Professional		$17.37	$142.86	$355.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.83 / $89.39 / $129.71	Facility		$63.83	$89.39	$129.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.26 / $100.30 / $103.31	Professional		$85.26	$100.30	$103.31
United Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $167.62 / $306.10	Professional		$87.46	$167.62	$306.10