Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $239.88 / $389.05	Professional		$223.87	$239.88	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $288.40	Professional		$199.53	$199.53	$288.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $389.05 / $426.58	Facility		$125.89	$389.05	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $1,202.26	Professional		$380.19	$426.58	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $436.52 / $457.09	Facility		$346.74	$436.52	$457.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $436.52 / $446.68	Professional		$354.81	$436.52	$446.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $436.52	Facility		$125.89	$125.89	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $275.42 / $380.19	Professional		$60.26	$275.42	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $295.12	Facility		$257.04	$257.04	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $933.25	Professional		$213.80	$223.87	$933.25