Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $190.55 / $575.44	Professional		$131.83	$190.55	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $457.09 / $562.34	Professional		$316.23	$457.09	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $309.03 / $660.69	Facility		$177.83	$309.03	$660.69
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $436.52 / $977.24	Professional		$380.19	$436.52	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $1,023.29	Professional		$575.44	$630.96	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $257.04 / $891.25	Facility		$131.83	$257.04	$891.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $338.84 / $457.09	Professional		$158.49	$338.84	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $1,000.00	Professional		$398.11	$489.78	$1,000.00