Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.24 / $294.24 / $294.24	Facility		$294.24	$294.24	$294.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.06 / $324.06 / $454.64	Professional		$324.06	$324.06	$454.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,711.90 / $2,711.90 / $2,711.90	Facility		$2,711.90	$2,711.90	$2,711.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $359.38 / $625.38	Professional		$162.68	$359.38	$625.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.48 / $121.48 / $463.41	Facility		$121.48	$121.48	$463.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $261.18 / $313.44 / $676.34	Professional		$261.18	$313.44	$676.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.75 / $468.35 / $746.49	Professional		$403.75	$468.35	$746.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $121.48 / $145.78 / $2,711.90	Facility		$121.48	$145.78	$2,711.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $396.96 / $730.94	Professional		$150.01	$396.96	$730.94
United Facility/Professional Professional Modifier Low / Median / High Price $154.40 / $359.38 / $2,102.00	Professional		$154.40	$359.38	$2,102.00