Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.01 / $1,669.36 / $2,836.29	Facility		$358.01	$1,669.36	$2,836.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $810.37 / $810.37 / $1,555.42	Professional		$810.37	$810.37	$1,555.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $668.27 / $668.27 / $668.27	Facility		$668.27	$668.27	$668.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $166.99 / $371.27	Professional		$166.99	$166.99	$371.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,158.83 / $1,158.83 / $1,158.83	Facility		$1,158.83	$1,158.83	$1,158.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.90 / $241.90 / $778.92	Professional		$241.90	$241.90	$778.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $846.65 / $895.03 / $1,318.04	Facility		$846.65	$895.03	$1,318.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.71 / $544.28 / $544.28	Professional		$217.71	$544.28	$544.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $668.27 / $931.32 / $1,318.04	Facility		$668.27	$931.32	$1,318.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $371.27 / $665.23	Professional		$166.99	$371.27	$665.23
United Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $483.80 / $729.86	Professional		$329.51	$483.80	$729.86