Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.34 / $219.34 / $219.34	Professional		$219.34	$219.34	$219.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $125.61	Facility		$125.61	$125.61	$125.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $182.03 / $193.98	Professional		$153.22	$182.03	$193.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $64.75 / $64.75	Facility		$64.75	$64.75	$64.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.88 / $243.25 / $384.08	Professional		$195.88	$243.25	$384.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.55 / $180.55 / $250.05	Facility		$180.55	$180.55	$250.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.55 / $250.05 / $515.63	Professional		$180.55	$250.05	$515.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $64.75 / $139.15	Facility		$64.75	$64.75	$139.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.53 / $187.69 / $291.45	Professional		$172.53	$187.69	$291.45
United Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $244.82 / $638.66	Professional		$123.75	$244.82	$638.66