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 $120.23 / $181.97 / $426.58	Professional		$120.23	$181.97	$426.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,071.52	Facility		$1,071.52	$1,071.52	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $309.03 / $489.78	Professional		$120.23	$309.03	$489.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $213.80 / $467.74	Facility		$109.65	$213.80	$467.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $707.95	Professional		$288.40	$446.68	$707.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $933.25	Professional		$575.44	$645.65	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $177.83 / $467.74	Facility		$114.82	$177.83	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $288.40 / $489.78	Professional		$154.88	$288.40	$489.78
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $489.78 / $831.76	Professional		$123.03	$489.78	$831.76