Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $2,137.96 / $3,715.35	Facility		$446.68	$2,137.96	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $295.12 / $1,000.00	Professional		$245.47	$295.12	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $338.84	Professional		$151.36	$151.36	$338.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,348.96	Facility		$302.00	$302.00	$1,348.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $977.24	Professional		$295.12	$302.00	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,122.02 / $1,202.26	Facility		$302.00	$1,122.02	$1,202.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $831.76 / $1,445.44	Facility		$239.88	$831.76	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $269.15 / $338.84	Professional		$151.36	$269.15	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $602.56 / $912.01	Professional		$181.97	$602.56	$912.01