Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.64 / $215.64 / $215.64	Professional		$215.64	$215.64	$215.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.64 / $170.64 / $170.64	Facility		$170.64	$170.64	$170.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $170.64 / $181.91	Professional		$124.57	$170.64	$181.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $77.55 / $77.55	Facility		$77.55	$77.55	$77.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $233.94 / $274.70 / $369.38	Professional		$233.94	$274.70	$369.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.42 / $187.42 / $187.42	Professional		$187.42	$187.42	$187.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $77.55 / $77.55 / $170.64	Facility		$77.55	$77.55	$170.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $181.91 / $275.23	Professional		$124.57	$181.91	$275.23
United Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $122.86 / $235.47	Professional		$122.78	$122.86	$235.47