Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,951.21 / $4,677.35	Facility		$1,659.59	$2,951.21	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $1,288.25	Professional		$309.03	$354.81	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $549.54	Professional		$436.52	$436.52	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $371.54 / $1,288.25	Facility		$229.09	$371.54	$1,288.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $1,230.27	Professional		$380.19	$380.19	$1,230.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,412.54 / $1,513.56	Facility		$1,318.26	$1,412.54	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $851.14 / $851.14	Professional		$575.44	$851.14	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $295.12 / $691.83	Facility		$229.09	$295.12	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $380.19	Professional		$363.08	$363.08	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $758.58 / $1,148.15	Professional		$169.82	$758.58	$1,148.15