Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $199.53 / $295.12	Professional		$181.97	$199.53	$295.12
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 / $239.88	Professional		$165.96	$165.96	$239.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $275.42 / $302.00	Facility		$97.72	$275.42	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $323.59 / $1,000.00	Professional		$302.00	$323.59	$1,000.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $309.03 / $323.59	Facility		$288.40	$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 $97.72 / $97.72 / $331.13	Facility		$97.72	$97.72	$331.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $223.87 / $316.23	Professional		$60.26	$223.87	$316.23
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $223.87	Facility		$199.53	$199.53	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $158.49 / $724.44	Professional		$151.36	$158.49	$724.44