Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $426.58	Professional		$239.88	$281.84	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $323.59	Professional		$223.87	$223.87	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $407.38 / $467.74	Facility		$128.82	$407.38	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $467.74 / $1,412.54	Professional		$446.68	$467.74	$1,412.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $467.74 / $489.78	Facility		$407.38	$467.74	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $478.63	Professional		$380.19	$467.74	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $501.19	Facility		$128.82	$128.82	$501.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $309.03 / $446.68	Professional		$60.26	$309.03	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $302.00	Facility		$263.03	$263.03	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $239.88 / $954.99	Professional		$234.42	$239.88	$954.99