Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.52 / $456.26 / $456.26	Professional		$272.52	$456.26	$456.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Facility		$245.30	$245.30	$245.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $347.13	Professional		$245.30	$245.30	$347.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $456.26 / $638.76	Facility		$241.87	$456.26	$638.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $319.50	Professional		$245.30	$245.30	$319.50
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $366.38 / $783.20 / $3,495.87	Facility		$366.38	$783.20	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $406.28 / $538.45 / $587.40	Professional		$406.28	$538.45	$587.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $456.26 / $979.00	Facility		$245.30	$456.26	$979.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $303.41 / $587.40	Professional		$245.30	$303.41	$587.40
United Facility/Professional Professional Modifier Low / Median / High Price $367.95 / $367.95 / $735.90	Professional		$367.95	$367.95	$735.90