Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.89 / $250.89 / $250.89	Professional		$250.89	$250.89	$250.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $190.88	Professional		$134.88	$134.88	$190.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $137.19 / $250.89 / $351.25	Facility		$137.19	$250.89	$351.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $175.36	Professional		$134.88	$134.88	$175.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $216.48 / $216.48 / $3,495.87	Facility		$216.48	$216.48	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.53 / $151.53 / $151.53	Professional		$151.53	$151.53	$151.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $250.89 / $351.25	Facility		$134.88	$250.89	$351.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $167.99 / $174.99	Professional		$134.88	$167.99	$174.99
United Facility/Professional Professional Modifier Low / Median / High Price $202.34 / $202.34 / $404.67	Professional		$202.34	$202.34	$404.67