Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $4,786.30	Facility		$1,698.24	$3,019.95	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $363.08 / $1,318.26	Professional		$316.23	$363.08	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $562.34	Professional		$446.68	$446.68	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $389.05 / $1,778.28	Facility		$234.42	$389.05	$1,778.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $1,258.93	Professional		$389.05	$389.05	$1,258.93
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,513.56 / $1,548.82	Facility		$1,445.44	$1,513.56	$1,548.82
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $870.96	Professional		$588.84	$870.96	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $446.68	Facility		$234.42	$234.42	$446.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $389.05	Professional		$371.54	$371.54	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $776.25 / $1,174.90	Professional		$177.83	$776.25	$1,174.90