Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,890.45 / $6,165.95	Facility		$2,187.76	$3,890.45	$6,165.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $467.74 / $1,698.24	Professional		$407.38	$467.74	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $724.44	Professional		$575.44	$575.44	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $501.19 / $2,290.87	Facility		$302.00	$501.19	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $1,621.81	Professional		$501.19	$501.19	$1,621.81
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,862.09 / $1,995.26	Facility		$1,778.28	$1,862.09	$1,995.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,122.02 / $1,122.02	Professional		$758.58	$1,122.02	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $389.05 / $912.01	Facility		$302.00	$389.05	$912.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $501.19	Professional		$478.63	$478.63	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $1,000.00 / $1,513.56	Professional		$229.09	$1,000.00	$1,513.56