Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $741.31	Professional		$190.55	$218.78	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $204.17	Facility		$204.17	$204.17	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $218.78	Professional		$151.36	$151.36	$218.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $851.14 / $851.14	Facility		$102.33	$851.14	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $851.14 / $1,318.26	Professional		$363.08	$851.14	$1,318.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $851.14 / $891.25	Facility		$331.13	$851.14	$891.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $851.14 / $870.96	Professional		$691.83	$851.14	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $426.58	Facility		$102.33	$102.33	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $204.17 / $354.81	Professional		$60.26	$204.17	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $177.83	Facility		$158.49	$158.49	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $645.65 / $2,187.76	Professional		$234.42	$645.65	$2,187.76