Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $465.42 / $465.42 / $465.42	Facility		$465.42	$465.42	$465.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.55 / $512.55 / $704.54	Professional		$512.55	$512.55	$704.54
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 $259.95 / $543.17 / $593.21	Professional		$259.95	$543.17	$593.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $197.62 / $197.62 / $732.96	Facility		$197.62	$197.62	$732.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $418.88 / $502.65 / $1,098.30	Professional		$418.88	$502.65	$1,098.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.25 / $699.30 / $1,110.80	Professional		$636.25	$699.30	$1,110.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $197.62 / $237.14 / $13,806.02	Facility		$197.62	$237.14	$13,806.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $241.78 / $607.20 / $1,110.80	Professional		$241.78	$607.20	$1,110.80
United Facility/Professional Professional Modifier Low / Median / High Price $434.54 / $651.80 / $1,092.36	Professional		$434.54	$651.80	$1,092.36