Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $208.93 / $288.40	Professional		$181.97	$208.93	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $141.25 / $199.53	Professional		$141.25	$141.25	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $288.40 / $323.59	Facility		$104.71	$288.40	$323.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $338.84 / $1,071.52	Professional		$323.59	$338.84	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $331.13 / $338.84	Facility		$302.00	$331.13	$338.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $331.13 / $338.84	Professional		$269.15	$331.13	$338.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $338.84	Facility		$104.71	$104.71	$338.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $190.55 / $331.13	Professional		$60.26	$190.55	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $199.53	Facility		$151.36	$151.36	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $263.03 / $831.76	Professional		$162.18	$263.03	$831.76