Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $169.82 / $288.40	Professional		$154.88	$169.82	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $234.42	Professional		$165.96	$165.96	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $269.15 / $309.03	Facility		$83.18	$269.15	$309.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $309.03 / $851.14	Professional		$269.15	$309.03	$851.14
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $309.03 / $323.59	Facility		$245.47	$309.03	$323.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $309.03 / $316.23	Professional		$251.19	$309.03	$316.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $316.23	Facility		$83.18	$83.18	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $208.93 / $263.03	Professional		$60.26	$208.93	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $194.98	Facility		$173.78	$173.78	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $630.96	Professional		$151.36	$158.49	$630.96