Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.79 / $397.11 / $464.36	Professional		$304.79	$397.11	$464.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $301.51	Facility		$301.51	$301.51	$301.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $301.51 / $321.43	Professional		$220.10	$301.51	$321.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $99.73 / $99.73	Facility		$99.73	$99.73	$99.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.11 / $436.25 / $688.82	Professional		$130.11	$436.25	$688.82
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.55 / $205.55 / $447.21	Facility		$205.55	$205.55	$447.21
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.20 / $447.21 / $973.50	Professional		$322.20	$447.21	$973.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.73 / $99.73 / $301.51	Facility		$99.73	$99.73	$301.51
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $344.23 / $536.65	Professional		$220.10	$344.23	$536.65
United Facility/Professional Professional Modifier Low / Median / High Price $233.64 / $462.24 / $602.92	Professional		$233.64	$462.24	$602.92