Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.90 / $234.90 / $234.90	Professional		$234.90	$234.90	$234.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Professional		$147.90	$147.90	$147.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $234.90 / $328.86	Facility		$174.00	$234.90	$328.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $217.50 / $217.50 / $217.50	Professional		$217.50	$217.50	$217.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $243.60 / $278.39 / $3,495.87	Facility		$243.60	$278.39	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $191.40 / $208.80	Professional		$147.90	$191.40	$208.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $174.00 / $234.90 / $348.00	Facility		$174.00	$234.90	$348.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $181.25 / $208.80	Professional		$147.90	$181.25	$208.80
United Facility/Professional Professional Modifier Low / Median / High Price $217.50 / $217.50 / $435.00	Professional		$217.50	$217.50	$435.00