Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.10 / $462.10 / $462.10	Facility		$462.10	$462.10	$462.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $508.92 / $508.92 / $722.40	Professional		$508.92	$508.92	$722.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,465.47 / $3,465.47 / $3,465.47	Facility		$3,465.47	$3,465.47	$3,465.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.68 / $431.56 / $608.20	Professional		$245.68	$431.56	$608.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.87 / $186.87 / $727.76	Facility		$186.87	$186.87	$727.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $397.05 / $476.46 / $1,053.14	Professional		$397.05	$476.46	$1,053.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $543.75 / $672.30 / $1,022.50	Professional		$543.75	$672.30	$1,022.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.87 / $224.24 / $3,465.47	Facility		$186.87	$224.24	$3,465.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.97 / $543.75 / $973.42	Professional		$213.97	$543.75	$973.42
United Facility/Professional Professional Modifier Low / Median / High Price $166.01 / $502.13 / $988.30	Professional		$166.01	$502.13	$988.30