Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.48 / $260.48 / $260.48	Professional		$260.48	$260.48	$260.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $112.73 / $112.73	Facility		$112.73	$112.73	$112.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $112.73 / $116.11	Professional		$95.82	$112.73	$116.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.94 / $116.70 / $170.81	Facility		$83.94	$116.70	$170.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $23.74 / $23.92 / $25.18	Professional		$23.74	$23.92	$25.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $24.34 / $199.91	Professional		$19.89	$24.34	$199.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.88 / $116.04 / $168.87	Facility		$84.88	$116.04	$168.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $112.73 / $116.11	Professional		$95.82	$112.73	$116.11
United Facility/Professional Professional Modifier Low / Median / High Price $94.17 / $180.49 / $329.60	Professional		$94.17	$180.49	$329.60