Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.16 / $320.16 / $320.16	Professional		$320.16	$320.16	$320.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $160.96	Facility		$160.96	$160.96	$160.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $165.79	Professional		$136.82	$160.96	$165.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $110.87 / $152.51 / $220.25	Facility		$110.87	$152.51	$220.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $248.70 / $331.60	Professional		$33.15	$248.70	$331.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $212.61 / $531.53	Professional		$25.31	$212.61	$531.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.87 / $156.40 / $217.74	Facility		$114.87	$156.40	$217.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $160.96 / $165.79	Professional		$136.82	$160.96	$165.79
United Facility/Professional Professional Modifier Low / Median / High Price $151.87 / $291.08 / $531.54	Professional		$151.87	$291.08	$531.54