Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.65 / $179.65 / $179.65	Facility		$179.65	$179.65	$179.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.84 / $197.84 / $233.49	Professional		$197.84	$197.84	$233.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,566.50 / $1,566.50 / $1,566.50	Facility		$1,566.50	$1,566.50	$1,566.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $190.13 / $210.80	Professional		$91.73	$190.13	$210.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.42 / $75.42 / $282.91	Facility		$75.42	$75.42	$282.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.53 / $175.00 / $414.98	Professional		$141.53	$175.00	$414.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.25 / $247.00 / $384.42	Professional		$216.25	$247.00	$384.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.42 / $90.50 / $1,566.50	Facility		$75.42	$90.50	$1,566.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $208.80 / $384.42	Professional		$82.18	$208.80	$384.42
United Facility/Professional Professional Modifier Low / Median / High Price $149.49 / $252.96 / $423.94	Professional		$149.49	$252.96	$423.94