Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,623.17 / $2,696.56 / $4,581.54	Facility		$1,623.17	$2,696.56	$4,581.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,309.01 / $1,309.01 / $1,309.01	Professional		$1,309.01	$1,309.01	$1,309.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.46 / $1,079.46 / $1,079.46	Facility		$1,079.46	$1,079.46	$1,079.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $448.93 / $448.93 / $561.16	Professional		$448.93	$448.93	$561.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $234.45 / $371.21	Facility		$234.45	$234.45	$371.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $390.75 / $390.75 / $1,563.00	Professional		$390.75	$390.75	$1,563.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.78 / $1,445.78 / $1,563.00	Facility		$1,445.78	$1,445.78	$1,563.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.68 / $586.13 / $1,563.00	Professional		$351.68	$586.13	$1,563.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $234.45 / $234.45 / $449.36	Facility		$234.45	$234.45	$449.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $371.21 / $390.75 / $1,074.56	Professional		$371.21	$390.75	$1,074.56
United Facility/Professional Professional Modifier Low / Median / High Price $175.84 / $781.50 / $1,178.97	Professional		$175.84	$781.50	$1,178.97