Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.09 / $410.09 / $410.09	Professional		$410.09	$410.09	$410.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.62 / $267.62 / $267.62	Facility		$267.62	$267.62	$267.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $267.62 / $275.64	Professional		$227.48	$267.62	$275.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $280.08 / $356.66	Facility		$280.08	$280.08	$356.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.39 / $286.77 / $393.55	Professional		$37.39	$286.77	$393.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.33 / $299.79 / $794.44	Professional		$38.33	$299.79	$794.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $280.08 / $280.08 / $356.66	Facility		$280.08	$280.08	$356.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $267.62 / $275.64	Professional		$227.48	$267.62	$275.64
United Facility/Professional Professional Modifier Low / Median / High Price $194.41 / $372.62 / $680.44	Professional		$194.41	$372.62	$680.44