Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.70 / $1,703.99 / $2,895.13	Facility		$1,025.70	$1,703.99	$2,895.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $827.18 / $827.18 / $827.18	Professional		$827.18	$827.18	$827.18
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 $162.35 / $200.01 / $306.18	Facility		$162.35	$200.01	$306.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $246.92 / $246.92 / $987.68	Professional		$246.92	$246.92	$987.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $864.22 / $913.60 / $987.68	Facility		$864.22	$913.60	$987.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.23 / $370.38 / $987.68	Professional		$222.23	$370.38	$987.68
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.97 / $200.01 / $451.86	Facility		$162.97	$200.01	$451.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $234.57 / $246.92 / $679.03	Professional		$234.57	$246.92	$679.03
United Facility/Professional Professional Modifier Low / Median / High Price $111.11 / $493.84 / $745.01	Professional		$111.11	$493.84	$745.01