Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $286.01 / $1,333.62 / $2,265.86	Facility		$286.01	$1,333.62	$2,265.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.39 / $647.39 / $1,242.59	Professional		$647.39	$647.39	$1,242.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $533.84 / $533.84 / $533.84	Facility		$533.84	$533.84	$533.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.47 / $97.47 / $97.47	Professional		$97.47	$97.47	$97.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $925.77 / $925.77 / $925.77	Facility		$925.77	$925.77	$925.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $193.25 / $622.27	Professional		$193.25	$193.25	$622.27
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.38 / $715.03 / $773.00	Facility		$676.38	$715.03	$773.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.93 / $434.81 / $434.81	Professional		$173.93	$434.81	$434.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $533.84 / $715.03 / $925.77	Facility		$533.84	$715.03	$925.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.47 / $531.44 / $531.44	Professional		$97.47	$531.44	$531.44
United Facility/Professional Professional Modifier Low / Median / High Price $193.25 / $386.50 / $583.08	Professional		$193.25	$386.50	$583.08