Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $398.11 / $691.83	Professional		$288.40	$398.11	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $398.11	Professional		$281.84	$281.84	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $575.44 / $794.33	Facility		$158.49	$575.44	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $794.33 / $1,995.26	Professional		$630.96	$794.33	$1,995.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $794.33 / $831.76	Facility		$575.44	$794.33	$831.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $794.33 / $812.83	Professional		$645.65	$794.33	$812.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $676.08	Facility		$158.49	$158.49	$676.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $389.05 / $630.96	Professional		$60.26	$389.05	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $323.59	Facility		$245.47	$245.47	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $616.60 / $2,041.74	Professional		$371.54	$616.60	$2,041.74