Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $630.96	Professional		$234.42	$316.23	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $288.40	Professional		$199.53	$199.53	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $467.74 / $707.95	Facility		$131.83	$467.74	$707.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $707.95 / $1,621.81	Professional		$512.86	$707.95	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $707.95 / $741.31	Facility		$467.74	$707.95	$741.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $707.95 / $724.44	Professional		$575.44	$707.95	$724.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $562.34	Facility		$131.83	$131.83	$562.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $275.42 / $501.19	Professional		$60.26	$275.42	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $269.15	Facility		$204.17	$204.17	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $1,819.70	Professional		$309.03	$549.54	$1,819.70