Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $804.67 / $1,453.60 / $2,271.25	Facility		$804.67	$1,453.60	$2,271.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,323.82 / $1,453.60 / $2,238.81	Professional		$1,323.82	$1,453.60	$2,238.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.13 / $682.13 / $682.13	Facility		$682.13	$682.13	$682.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.73 / $283.73 / $354.66	Professional		$283.73	$283.73	$354.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $158.84 / $234.39	Facility		$102.67	$158.84	$234.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $740.76 / $987.68	Professional		$246.92	$740.76	$987.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $677.99 / $913.60 / $987.68	Facility		$677.99	$913.60	$987.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.34 / $308.45 / $822.52	Professional		$174.34	$308.45	$822.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $158.84 / $377.73	Facility		$102.67	$158.84	$377.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $193.71 / $195.35 / $532.70	Professional		$193.71	$195.35	$532.70
United Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $387.42 / $584.46	Professional		$92.53	$387.42	$584.46