Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.00 / $299.00 / $299.00	Facility		$299.00	$299.00	$299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $108.27 / $329.31	Professional		$88.39	$108.27	$329.31
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 $147.44 / $279.69 / $405.80	Professional		$147.44	$279.69	$405.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $109.49 / $470.91	Facility		$109.49	$109.49	$470.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $237.75 / $285.30 / $621.28	Professional		$237.75	$285.30	$621.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.50 / $405.00 / $677.50	Professional		$367.50	$405.00	$677.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.49 / $131.38 / $1,566.50	Facility		$109.49	$131.38	$1,566.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $137.80 / $351.00 / $643.28	Professional		$137.80	$351.00	$643.28
United Facility/Professional Professional Modifier Low / Median / High Price $162.38 / $336.90 / $636.24	Professional		$162.38	$336.90	$636.24