Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.84 / $1,966.99 / $3,341.97	Facility		$421.84	$1,966.99	$3,341.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.85 / $954.85 / $1,832.74	Professional		$954.85	$954.85	$1,832.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $787.40 / $787.40 / $787.40	Facility		$787.40	$787.40	$787.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.53 / $327.51 / $409.39	Professional		$63.53	$327.51	$409.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $207.59 / $207.59 / $207.59	Facility		$207.59	$207.59	$207.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $285.02 / $285.02 / $1,140.11	Professional		$285.02	$285.02	$1,140.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $551.28 / $1,054.60 / $1,140.11	Facility		$551.28	$1,054.60	$1,140.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.52 / $641.32 / $641.32	Professional		$256.52	$641.32	$641.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $207.59 / $207.59 / $652.60	Facility		$207.59	$207.59	$652.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.80 / $146.16 / $285.02	Professional		$130.80	$146.16	$285.02
United Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $570.05 / $860.00	Professional		$63.59	$570.05	$860.00