Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $184.74 / $184.74	Professional		$184.74	$184.74	$184.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $171.65 / $171.65 / $171.65	Facility		$171.65	$171.65	$171.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.90 / $171.65 / $176.80	Professional		$145.90	$171.65	$176.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $141.47 / $141.47	Facility		$141.47	$141.47	$141.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $316.44	Professional		$200.41	$200.41	$316.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.02 / $206.02 / $206.02	Facility		$206.02	$206.02	$206.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.93 / $206.02 / $424.88	Professional		$166.93	$206.02	$424.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.47 / $141.47 / $171.65	Facility		$141.47	$141.47	$171.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.78 / $175.42 / $261.04	Professional		$147.78	$175.42	$261.04
United Facility/Professional Professional Modifier Low / Median / High Price $101.97 / $105.25 / $201.73	Professional		$101.97	$105.25	$201.73