Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $245.47 / $575.44	Professional		$239.88	$245.47	$575.44
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 / $257.04	Professional		$181.97	$181.97	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $407.38 / $645.65	Facility		$128.82	$407.38	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $1,230.27	Professional		$389.05	$645.65	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $660.69 / $691.83	Facility		$354.81	$660.69	$691.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $660.69 / $676.08	Professional		$537.03	$660.69	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $575.44	Facility		$128.82	$128.82	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $251.19 / $380.19	Professional		$60.26	$251.19	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $229.09	Facility		$199.53	$199.53	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $501.19 / $1,698.24	Professional		$302.00	$501.19	$1,698.24