Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $363.08	Professional		$204.17	$234.42	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $309.03	Professional		$218.78	$218.78	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $316.23 / $354.81	Facility		$114.82	$316.23	$354.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $371.54 / $1,174.90	Professional		$354.81	$371.54	$1,174.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $354.81 / $371.54	Facility		$338.84	$354.81	$371.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $363.08	Professional		$288.40	$354.81	$363.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $407.38	Facility		$114.82	$114.82	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $288.40 / $371.54	Professional		$60.26	$288.40	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $269.15	Facility		$234.42	$234.42	$269.15
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $181.97 / $870.96	Professional		$177.83	$181.97	$870.96