Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.27 / $287.27 / $287.27	Professional		$287.27	$287.27	$287.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.25 / $192.25 / $192.25	Facility		$192.25	$192.25	$192.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.34 / $192.25 / $198.02	Professional		$140.34	$192.25	$198.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $104.04 / $104.04	Facility		$104.04	$104.04	$104.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $318.58 / $330.97 / $503.04	Professional		$318.58	$330.97	$503.04
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.06 / $305.06 / $327.50	Facility		$305.06	$305.06	$327.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $265.33 / $327.50 / $675.35	Professional		$265.33	$327.50	$675.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.04 / $104.04 / $235.11	Facility		$104.04	$104.04	$235.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $192.25 / $266.41 / $408.26	Professional		$192.25	$266.41	$408.26
United Facility/Professional Professional Modifier Low / Median / High Price $162.08 / $320.67 / $418.26	Professional		$162.08	$320.67	$418.26