Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $194.98 / $288.40	Professional		$154.88	$194.98	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $173.78	Professional		$117.49	$117.49	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $204.17 / $229.09	Facility		$83.18	$204.17	$229.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $251.19 / $776.25	Professional		$229.09	$251.19	$776.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $239.88	Facility		$229.09	$229.09	$239.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $229.09 / $234.42	Professional		$186.21	$229.09	$234.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $263.03	Facility		$83.18	$83.18	$263.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $162.18 / $245.47	Professional		$60.26	$162.18	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $194.98	Facility		$169.82	$169.82	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $588.84	Professional		$117.49	$117.49	$588.84