Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.63 / $3,999.00 / $6,794.41	Facility		$857.63	$3,999.00	$6,794.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,941.26 / $1,941.26 / $3,726.06	Professional		$1,941.26	$1,941.26	$3,726.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,600.81 / $1,600.81 / $1,600.81	Facility		$1,600.81	$1,600.81	$1,600.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.51 / $665.76 / $832.20	Professional		$397.51	$665.76	$832.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $627.03 / $627.03 / $627.03	Facility		$627.03	$627.03	$627.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $579.48 / $579.48 / $2,317.92	Professional		$579.48	$579.48	$2,317.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,028.18 / $2,231.00 / $3,738.63	Facility		$2,028.18	$2,231.00	$3,738.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.53 / $1,303.83 / $1,303.83	Professional		$521.53	$1,303.83	$1,303.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $627.03 / $627.03 / $2,028.18	Facility		$627.03	$627.03	$2,028.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $579.46 / $579.48 / $749.30	Professional		$579.46	$579.48	$749.30
United Facility/Professional Professional Modifier Low / Median / High Price $364.39 / $1,158.96 / $1,748.41	Professional		$364.39	$1,158.96	$1,748.41