Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.61 / $270.61 / $270.61	Professional		$270.61	$270.61	$270.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $145.49 / $145.49	Facility		$145.49	$145.49	$145.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $205.88	Professional		$145.49	$145.49	$205.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.55 / $270.61 / $378.85	Facility		$127.55	$270.61	$378.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $145.49 / $203.69	Professional		$145.49	$145.49	$203.69
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.54 / $345.60 / $3,495.87	Facility		$176.54	$345.60	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.28 / $237.60 / $259.20	Professional		$179.28	$237.60	$259.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.49 / $270.61 / $432.00	Facility		$145.49	$270.61	$432.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $145.49 / $176.86 / $259.20	Professional		$145.49	$176.86	$259.20
United Facility/Professional Professional Modifier Low / Median / High Price $218.24 / $218.24 / $436.47	Professional		$218.24	$218.24	$436.47