Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $547.91 / $547.91 / $547.91	Professional		$547.91	$547.91	$547.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $193.40	Facility		$193.40	$193.40	$193.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $193.40 / $199.20	Professional		$164.39	$193.40	$199.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $232.15 / $232.15 / $232.15	Facility		$232.15	$232.15	$232.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.86 / $49.86 / $49.86	Professional		$49.86	$49.86	$49.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $433.80 / $649.25	Professional		$24.50	$433.80	$649.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $232.15 / $232.15 / $232.15	Facility		$232.15	$232.15	$232.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $193.40 / $199.20	Professional		$164.39	$193.40	$199.20
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $49.89 / $91.10	Professional		$26.03	$49.89	$91.10