Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,890.45 / $6,165.95	Facility		$2,187.76	$3,890.45	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $1,698.24	Professional		$407.38	$467.74	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $660.69	Professional		$524.81	$524.81	$660.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $416.87 / $1,698.24	Facility		$251.19	$416.87	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $1,513.56 / $1,698.24	Professional		$457.09	$1,513.56	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $1,995.26	Facility		$1,778.28	$1,862.09	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,122.02	Professional		$758.58	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $407.38 / $912.01	Facility		$251.19	$407.38	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $457.09 / $501.19	Professional		$60.26	$457.09	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $1,000.00 / $1,513.56	Professional		$229.09	$1,000.00	$1,513.56