Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $257.04 / $426.58	Professional		$147.91	$257.04	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $323.59	Professional		$229.09	$229.09	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $478.63 / $478.63	Facility		$93.33	$478.63	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $478.63 / $758.58	Professional		$125.89	$478.63	$758.58
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $478.63 / $501.19	Facility		$208.93	$478.63	$501.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $478.63 / $524.81	Professional		$457.09	$478.63	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $467.74	Facility		$93.33	$93.33	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $309.03 / $398.11	Professional		$60.26	$309.03	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $223.87	Facility		$208.93	$208.93	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $1,412.54	Professional		$275.42	$426.58	$1,412.54