Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.02 / $277.02 / $277.02	Professional		$277.02	$277.02	$277.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $211.82	Facility		$211.82	$211.82	$211.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $211.82 / $218.17	Professional		$154.63	$211.82	$218.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $69.56 / $69.56	Facility		$69.56	$69.56	$69.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.76 / $304.33 / $480.53	Professional		$90.76	$304.33	$480.53
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $143.38 / $143.38 / $311.98	Facility		$143.38	$143.38	$311.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.77 / $311.98 / $679.13	Professional		$224.77	$311.98	$679.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.56 / $69.56 / $211.82	Facility		$69.56	$69.56	$211.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $240.14 / $374.38	Professional		$154.63	$240.14	$374.38
United Facility/Professional Professional Modifier Low / Median / High Price $168.24 / $322.45 / $420.60	Professional		$168.24	$322.45	$420.60