Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $436.52	Professional		$263.03	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $208.93	Professional		$173.78	$204.17	$208.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $302.00 / $407.38	Facility		$40.74	$302.00	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $407.38 / $1,380.38	Professional		$302.00	$407.38	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $40.74 / $407.38	Facility		$29.51	$40.74	$407.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $83.18 / $407.38	Professional		$33.88	$83.18	$407.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $275.42	Facility		$138.04	$194.98	$275.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $204.17 / $457.09	Professional		$60.26	$204.17	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $123.03 / $218.78	Facility		$16.22	$123.03	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $389.05 / $707.95	Professional		$204.17	$389.05	$707.95