Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.47 / $230.47 / $230.47	Facility		$230.47	$230.47	$230.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.83 / $253.83 / $363.73	Professional		$253.83	$253.83	$363.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,060.27 / $1,060.27 / $1,060.27	Facility		$1,060.27	$1,060.27	$1,060.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.62 / $199.03 / $306.22	Professional		$122.62	$199.03	$306.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.00 / $92.00 / $362.98	Facility		$92.00	$92.00	$362.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $197.33 / $236.79 / $520.03	Professional		$197.33	$236.79	$520.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.75 / $334.80 / $511.82	Professional		$268.75	$334.80	$511.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.00 / $110.40 / $1,060.27	Facility		$92.00	$110.40	$1,060.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.67 / $268.75 / $476.00	Professional		$106.67	$268.75	$476.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.94 / $261.83 / $480.04	Professional		$162.94	$261.83	$480.04