Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.91 / $282.91 / $282.91	Professional		$282.91	$282.91	$282.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Facility		$178.13	$178.13	$178.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $178.13 / $178.13	Professional		$178.13	$178.13	$178.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.56 / $282.91 / $396.07	Facility		$209.56	$282.91	$396.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $253.63 / $253.63 / $253.63	Professional		$253.63	$253.63	$253.63
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $293.38 / $335.30 / $3,495.87	Facility		$293.38	$335.30	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $230.52 / $251.47	Professional		$178.13	$230.52	$251.47
Providence Facility/Professional Facility Modifier Low / Median / High Price $209.56 / $282.91 / $419.12	Facility		$209.56	$282.91	$419.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $178.13 / $230.84 / $251.47	Professional		$178.13	$230.84	$251.47
United Facility/Professional Professional Modifier Low / Median / High Price $284.06 / $304.35 / $608.70	Professional		$284.06	$304.35	$608.70