Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.20 / $1,005.63 / $1,005.63	Professional		$647.20	$1,005.63	$1,005.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $510.00	Facility		$510.00	$510.00	$510.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $510.00 / $543.69	Professional		$372.30	$510.00	$543.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $260.95 / $260.95 / $260.95	Facility		$260.95	$260.95	$260.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $865.48 / $1,115.23 / $1,760.90	Professional		$865.48	$1,115.23	$1,760.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.95 / $260.95 / $510.00	Facility		$260.95	$260.95	$510.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.30 / $543.69 / $1,028.22	Professional		$372.30	$543.69	$1,028.22
United Facility/Professional Professional Modifier Low / Median / High Price $567.39 / $878.50 / $1,464.17	Professional		$567.39	$878.50	$1,464.17