Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $251.19 / $363.08	Professional		$229.09	$251.19	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $269.15	Professional		$181.97	$181.97	$269.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $363.08 / $407.38	Facility		$123.03	$363.08	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $1,380.38	Professional		$309.03	$426.58	$1,380.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $407.38 / $426.58	Facility		$363.08	$407.38	$426.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $407.38 / $416.87	Professional		$331.13	$407.38	$416.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $123.03 / $426.58	Facility		$123.03	$123.03	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $251.19 / $398.11	Professional		$60.26	$251.19	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $218.78	Facility		$190.55	$190.55	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $1,047.13	Professional		$204.17	$316.23	$1,047.13