Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.62 / $300.62 / $300.62	Professional		$300.62	$300.62	$300.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $161.62 / $161.62	Facility		$161.62	$161.62	$161.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $228.71	Professional		$161.62	$161.62	$228.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.84 / $300.62 / $429.89	Facility		$164.84	$300.62	$429.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $161.62 / $210.11	Professional		$161.62	$161.62	$210.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $625.30 / $714.64 / $3,495.87	Facility		$625.30	$714.64	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $370.72 / $491.32 / $535.98	Professional		$370.72	$491.32	$535.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.62 / $300.62 / $893.30	Facility		$161.62	$300.62	$893.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $345.00 / $535.98	Professional		$161.62	$345.00	$535.98
United Facility/Professional Professional Modifier Low / Median / High Price $242.43 / $242.43 / $484.86	Professional		$242.43	$242.43	$484.86