Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $360.34 / $360.34 / $360.34	Facility		$360.34	$360.34	$360.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.84 / $396.84 / $540.40	Professional		$396.84	$396.84	$540.40
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 $193.10 / $437.27 / $455.08	Professional		$193.10	$437.27	$455.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.62 / $148.62 / $567.48	Facility		$148.62	$148.62	$567.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $310.52 / $372.63 / $828.52	Professional		$310.52	$372.63	$828.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $548.60 / $887.30	Professional		$480.00	$548.60	$887.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.62 / $178.34 / $13,806.02	Facility		$148.62	$178.34	$13,806.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.77 / $465.60 / $887.30	Professional		$183.77	$465.60	$887.30
United Facility/Professional Professional Modifier Low / Median / High Price $333.36 / $514.67 / $1,008.87	Professional		$333.36	$514.67	$1,008.87