Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,247.28 / $3,733.38 / $6,343.12	Facility		$2,247.28	$3,733.38	$6,343.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,812.32 / $1,812.32 / $1,812.32	Professional		$1,812.32	$1,812.32	$1,812.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,494.47 / $1,494.47 / $1,494.47	Facility		$1,494.47	$1,494.47	$1,494.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $621.57 / $621.57 / $776.96	Professional		$621.57	$621.57	$776.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $355.70 / $438.20 / $670.83	Facility		$355.70	$438.20	$670.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $540.99 / $540.99 / $2,163.96	Professional		$540.99	$540.99	$2,163.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,893.47 / $2,001.66 / $2,163.96	Facility		$1,893.47	$2,001.66	$2,163.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.89 / $811.49 / $2,163.96	Professional		$486.89	$811.49	$2,163.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $357.05 / $438.20 / $990.01	Facility		$357.05	$438.20	$990.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $513.94 / $540.99 / $1,487.72	Professional		$513.94	$540.99	$1,487.72
United Facility/Professional Professional Modifier Low / Median / High Price $243.45 / $1,081.98 / $1,632.28	Professional		$243.45	$1,081.98	$1,632.28