Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.27 / $230.27 / $230.27	Professional		$230.27	$230.27	$230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $123.80 / $123.80	Facility		$123.80	$123.80	$123.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $175.19	Professional		$123.80	$123.80	$175.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $126.06 / $230.27 / $322.38	Facility		$126.06	$230.27	$322.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $123.80 / $160.94	Professional		$123.80	$123.80	$160.94
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $192.46 / $432.00 / $3,495.87	Facility		$192.46	$432.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $224.10 / $297.00 / $324.00	Professional		$224.10	$297.00	$324.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $230.27 / $540.00	Facility		$123.80	$230.27	$540.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.80 / $159.38 / $324.00	Professional		$123.80	$159.38	$324.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.70 / $185.70 / $371.40	Professional		$185.70	$185.70	$371.40