Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.01 / $258.01 / $258.01	Facility		$258.01	$258.01	$258.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.14 / $284.14 / $421.09	Professional		$284.14	$284.14	$421.09
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 $142.63 / $226.63 / $354.33	Professional		$142.63	$226.63	$354.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.84 / $104.84 / $406.33	Facility		$104.84	$104.84	$406.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $277.52 / $595.38	Professional		$129.03	$277.52	$595.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.00 / $394.20 / $577.20	Professional		$305.00	$394.20	$577.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.84 / $125.81 / $1,060.27	Facility		$104.84	$125.81	$1,060.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.96 / $301.49 / $540.26	Professional		$126.96	$301.49	$540.26
United Facility/Professional Professional Modifier Low / Median / High Price $93.47 / $250.88 / $529.27	Professional		$93.47	$250.88	$529.27