Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,581.51 / $2,856.92 / $4,463.93	Facility		$1,581.51	$2,856.92	$4,463.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,601.84 / $2,856.92 / $4,400.16	Professional		$2,601.84	$2,856.92	$4,400.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,051.75 / $1,051.75 / $1,051.75	Facility		$1,051.75	$1,051.75	$1,051.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.37 / $437.37 / $546.71	Professional		$437.37	$437.37	$546.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $228.43 / $296.95 / $456.86	Facility		$228.43	$296.95	$456.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.72 / $380.72 / $1,522.88	Professional		$380.72	$380.72	$1,522.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,332.52 / $1,408.66 / $1,522.88	Facility		$1,332.52	$1,408.66	$1,522.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.65 / $571.08 / $1,522.88	Professional		$342.65	$571.08	$1,522.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $228.43 / $296.95 / $742.40	Facility		$228.43	$296.95	$742.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.68 / $380.72 / $1,046.98	Professional		$361.68	$380.72	$1,046.98
United Facility/Professional Professional Modifier Low / Median / High Price $171.32 / $761.44 / $1,148.71	Professional		$171.32	$761.44	$1,148.71