Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.63 / $419.63 / $419.63	Facility		$419.63	$419.63	$419.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.16 / $462.16 / $634.41	Professional		$462.16	$462.16	$634.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13,806.02 / $13,806.02 / $13,806.02	Facility		$13,806.02	$13,806.02	$13,806.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.79 / $460.53 / $534.16	Professional		$232.79	$460.53	$534.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.08 / $176.08 / $660.89	Facility		$176.08	$176.08	$660.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $374.40 / $449.28 / $973.67	Professional		$374.40	$449.28	$973.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $578.75 / $630.50 / $1,028.09	Professional		$578.75	$630.50	$1,028.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.08 / $211.30 / $13,806.02	Facility		$176.08	$211.30	$13,806.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $215.95 / $550.79 / $1,021.50	Professional		$215.95	$550.79	$1,021.50
United Facility/Professional Professional Modifier Low / Median / High Price $166.01 / $500.40 / $1,006.35	Professional		$166.01	$500.40	$1,006.35