Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,168.69 / $7,079.46	Facility		$851.14	$4,168.69	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $562.34 / $1,949.84	Professional		$467.74	$562.34	$1,949.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Facility		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $831.76	Professional		$398.11	$660.69	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $630.96 / $630.96	Facility		$575.44	$630.96	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $2,344.23	Professional		$575.44	$575.44	$2,344.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,238.72 / $3,715.35	Facility		$2,041.74	$2,238.72	$3,715.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $1,318.26	Professional		$1,071.52	$1,318.26	$1,318.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $741.31	Professional		$398.11	$575.44	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $1,148.15 / $1,737.80	Professional		$363.08	$1,148.15	$1,737.80