Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $312.74 / $487.34 / $487.34	Professional		$312.74	$487.34	$487.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $325.37	Facility		$325.37	$325.37	$325.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.37 / $443.05 / $479.81	Professional		$325.37	$443.05	$479.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $167.71 / $167.71	Facility		$167.71	$167.71	$167.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $540.46 / $540.46 / $853.35	Professional		$540.46	$540.46	$853.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $498.15 / $498.15 / $555.57	Facility		$498.15	$498.15	$555.57
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.13 / $555.57 / $1,145.68	Professional		$450.13	$555.57	$1,145.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.71 / $167.71 / $383.92	Facility		$167.71	$167.71	$383.92
Providence Facility/Professional Professional Modifier Low / Median / High Price $346.86 / $451.94 / $647.60	Professional		$346.86	$451.94	$647.60
United Facility/Professional Professional Modifier Low / Median / High Price $274.95 / $543.98 / $709.55	Professional		$274.95	$543.98	$709.55