Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.02 / $425.02 / $425.02	Professional		$425.02	$425.02	$425.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $312.30 / $312.30 / $312.30	Facility		$312.30	$312.30	$312.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $312.30 / $321.67	Professional		$227.98	$312.30	$321.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $94.35 / $94.35	Facility		$94.35	$94.35	$94.35
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.09 / $467.43 / $738.05	Professional		$123.09	$467.43	$738.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.70 / $210.70 / $479.32	Facility		$210.70	$210.70	$479.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $362.97 / $479.32 / $1,152.95	Professional		$362.97	$479.32	$1,152.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.35 / $94.35 / $312.30	Facility		$94.35	$94.35	$312.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.98 / $394.21 / $589.82	Professional		$227.98	$394.21	$589.82
United Facility/Professional Professional Modifier Low / Median / High Price $276.70 / $547.45 / $714.06	Professional		$276.70	$547.45	$714.06