Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $251.19 / $371.54	Professional		$190.55	$251.19	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $234.42	Professional		$162.18	$162.18	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $346.74 / $407.38	Facility		$102.33	$346.74	$407.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $1,288.25	Professional		$407.38	$407.38	$1,288.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $416.87 / $426.58	Facility		$363.08	$416.87	$426.58
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $416.87 / $426.58	Professional		$338.84	$416.87	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $436.52	Facility		$102.33	$102.33	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $218.78 / $398.11	Professional		$60.26	$218.78	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $239.88	Facility		$208.93	$208.93	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $208.93 / $776.25	Professional		$204.17	$208.93	$776.25