Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $169.82 / $363.08	Professional		$141.25	$169.82	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $165.96	Professional		$117.49	$117.49	$165.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $275.42 / $407.38	Facility		$83.18	$275.42	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $851.14	Professional		$269.15	$407.38	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $416.87 / $436.52	Facility		$245.47	$416.87	$436.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $426.58	Professional		$338.84	$416.87	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $363.08	Facility		$83.18	$83.18	$363.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $158.49 / $269.15	Professional		$60.26	$158.49	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $144.54	Facility		$125.89	$125.89	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $1,071.52	Professional		$190.55	$316.23	$1,071.52