Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,485.59 / $2,683.65 / $4,193.21	Facility		$1,485.59	$2,683.65	$4,193.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,444.04 / $2,683.65 / $4,133.31	Professional		$2,444.04	$2,683.65	$4,133.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $987.96 / $987.96 / $987.96	Facility		$987.96	$987.96	$987.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $410.94 / $410.94 / $513.66	Professional		$410.94	$410.94	$513.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $210.97 / $278.95 / $429.16	Facility		$210.97	$278.95	$429.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $357.63 / $357.63 / $1,430.52	Professional		$357.63	$357.63	$1,430.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,251.71 / $1,323.23 / $1,430.52	Facility		$1,251.71	$1,323.23	$1,430.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.87 / $536.44 / $1,430.52	Professional		$321.87	$536.44	$1,430.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $210.97 / $278.95 / $697.38	Facility		$210.97	$278.95	$697.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $339.75 / $357.63 / $983.48	Professional		$339.75	$357.63	$983.48
United Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $715.26 / $1,079.04	Professional		$160.93	$715.26	$1,079.04