Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.42 / $222.42 / $222.42	Professional		$222.42	$222.42	$222.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.17 / $64.17 / $64.17	Facility		$64.17	$64.17	$64.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $64.17 / $66.09	Professional		$54.54	$64.17	$66.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.58 / $102.75 / $153.30	Facility		$72.58	$102.75	$153.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $20.28 / $20.43 / $21.50	Professional		$20.28	$20.43	$21.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $42.50 / $425.00	Professional		$17.44	$42.50	$425.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.50 / $100.22 / $151.55	Facility		$69.50	$100.22	$151.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $64.17 / $66.09	Professional		$54.54	$64.17	$66.09
United Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $154.97 / $390.99	Professional		$80.86	$154.97	$390.99