Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $524.81 / $524.81	Professional		$309.03	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $251.19	Professional		$208.93	$245.47	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $371.54 / $489.78	Facility		$48.98	$371.54	$489.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,659.59	Professional		$346.74	$489.78	$1,659.59
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $48.98 / $489.78	Facility		$34.67	$48.98	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $100.00 / $489.78	Professional		$41.69	$100.00	$489.78
Providence Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $229.09 / $331.13	Facility		$169.82	$229.09	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $245.47 / $562.34	Professional		$60.26	$245.47	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $147.91 / $257.04	Facility		$19.50	$147.91	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $478.63 / $870.96	Professional		$245.47	$478.63	$870.96