Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $281.84	Professional		$120.23	$134.90	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $177.83	Professional		$125.89	$125.89	$177.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $199.53 / $316.23	Facility		$64.57	$199.53	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $316.23 / $645.65	Professional		$204.17	$316.23	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $316.23 / $331.13	Facility		$181.97	$316.23	$331.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $316.23 / $323.59	Professional		$257.04	$316.23	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $269.15	Facility		$64.57	$64.57	$269.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $154.88 / $199.53	Professional		$60.26	$154.88	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $151.36	Facility		$131.83	$131.83	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $162.18 / $478.63	Professional		$147.91	$162.18	$478.63