Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.17 / $182.17 / $182.17	Professional		$182.17	$182.17	$182.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $97.94 / $97.94	Facility		$97.94	$97.94	$97.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $138.59	Professional		$97.94	$97.94	$138.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.92 / $182.17 / $255.04	Facility		$107.92	$182.17	$255.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $97.94 / $214.85	Professional		$97.94	$97.94	$214.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.16 / $330.24 / $500.03	Facility		$217.16	$330.24	$500.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.31 / $227.04 / $247.68	Professional		$171.31	$227.04	$247.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.94 / $224.99 / $412.80	Facility		$97.94	$224.99	$412.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $198.00 / $247.68	Professional		$97.94	$198.00	$247.68
United Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $146.91 / $293.82	Professional		$146.91	$146.91	$293.82