Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.66 / $237.66 / $237.66	Professional		$237.66	$237.66	$237.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $482.61 / $482.61 / $482.61	Facility		$482.61	$482.61	$482.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $482.61 / $482.61	Professional		$410.22	$482.61	$482.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $161.40 / $161.40	Facility		$161.40	$161.40	$161.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $230.42 / $230.42 / $329.18	Professional		$230.42	$230.42	$329.18
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $313.93 / $313.93 / $935.55	Facility		$313.93	$313.93	$935.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.10 / $935.55 / $1,351.35	Professional		$485.10	$935.55	$1,351.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $161.40 / $482.61	Facility		$161.40	$161.40	$482.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $410.22 / $866.25 / $1,351.35	Professional		$410.22	$866.25	$1,351.35
United Facility/Professional Professional Modifier Low / Median / High Price $167.77 / $167.77 / $321.55	Professional		$167.77	$167.77	$321.55