Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $329.26 / $329.26 / $329.26	Facility		$329.26	$329.26	$329.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $362.62 / $362.62 / $497.27	Professional		$362.62	$362.62	$497.27
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 $159.55 / $220.93 / $418.68	Professional		$159.55	$220.93	$418.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $122.74 / $122.74 / $518.54	Facility		$122.74	$122.74	$518.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.14 / $308.58 / $692.23	Professional		$257.14	$308.58	$692.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $373.75 / $436.05 / $695.00	Professional		$373.75	$436.05	$695.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $122.74 / $147.29 / $3,465.47	Facility		$122.74	$147.29	$3,465.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $153.53 / $373.75 / $645.15	Professional		$153.53	$373.75	$645.15
United Facility/Professional Professional Modifier Low / Median / High Price $246.60 / $369.90 / $678.15	Professional		$246.60	$369.90	$678.15