Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $323.59 / $389.05	Professional		$263.03	$323.59	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $302.00	Professional		$204.17	$204.17	$302.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $323.59 / $363.08	Facility		$141.25	$323.59	$363.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $1,230.27	Professional		$363.08	$416.87	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $380.19	Facility		$363.08	$363.08	$380.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $380.19	Professional		$295.12	$363.08	$380.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $446.68	Facility		$141.25	$141.25	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $281.84 / $416.87	Professional		$60.26	$281.84	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $323.59	Facility		$288.40	$288.40	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $933.25	Professional		$186.21	$186.21	$933.25