Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $3,981.07 / $6,309.57	Facility		$2,187.76	$3,981.07	$6,309.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $478.63 / $1,698.24	Professional		$12.88	$478.63	$1,698.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $741.31	Professional		$588.84	$588.84	$741.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $512.86 / $2,290.87	Facility		$309.03	$512.86	$2,290.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,698.24	Professional		$512.86	$512.86	$1,698.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,905.46 / $2,041.74	Facility		$512.86	$1,905.46	$2,041.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $1,148.15	Professional		$758.58	$1,148.15	$1,148.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $389.05 / $933.25	Facility		$309.03	$389.05	$933.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $512.86	Professional		$489.78	$489.78	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $1,023.29 / $1,548.82	Professional		$229.09	$1,023.29	$1,548.82