Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $3,467.37	Facility		$1,230.27	$2,187.76	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $954.99	Professional		$229.09	$263.03	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $1,348.96	Facility		$281.84	$281.84	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $912.01	Professional		$281.84	$281.84	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $1,047.13 / $1,122.02	Facility		$281.84	$1,047.13	$1,122.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $776.25 / $1,348.96	Facility		$223.87	$776.25	$1,348.96
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $562.34 / $851.14	Professional		$169.82	$562.34	$851.14