Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.54 / $256.54 / $256.54	Professional		$256.54	$256.54	$256.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $137.93 / $137.93	Facility		$137.93	$137.93	$137.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $195.18	Professional		$137.93	$137.93	$195.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.60 / $256.54 / $359.16	Facility		$108.60	$256.54	$359.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $137.93 / $179.31	Professional		$137.93	$137.93	$179.31
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $351.26 / $351.26 / $3,495.87	Facility		$351.26	$351.26	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.89 / $245.89 / $245.89	Professional		$245.89	$245.89	$245.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $137.93 / $256.54 / $359.16	Facility		$137.93	$256.54	$359.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.93 / $185.51 / $290.89	Professional		$137.93	$185.51	$290.89
United Facility/Professional Professional Modifier Low / Median / High Price $206.90 / $206.90 / $413.79	Professional		$206.90	$206.90	$413.79