Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.69 / $302.69 / $302.69	Professional		$302.69	$302.69	$302.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $126.72	Facility		$126.72	$126.72	$126.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $130.52	Professional		$107.71	$126.72	$130.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $139.72 / $209.78	Facility		$119.48	$139.72	$209.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $268.02 / $357.35	Professional		$35.72	$268.02	$357.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $312.35 / $433.62	Professional		$28.26	$312.35	$433.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $119.48 / $136.85 / $209.78	Facility		$119.48	$136.85	$209.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $130.52	Professional		$107.71	$126.72	$130.52
United Facility/Professional Professional Modifier Low / Median / High Price $143.71 / $275.44 / $624.17	Professional		$143.71	$275.44	$624.17