Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.68 / $2,273.94 / $3,863.51	Facility		$487.68	$2,273.94	$3,863.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,103.85 / $1,103.85 / $2,118.75	Professional		$1,103.85	$1,103.85	$2,118.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $910.27 / $910.27 / $910.27	Facility		$910.27	$910.27	$910.27
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 $1,578.52 / $1,578.52 / $1,578.52	Facility		$1,578.52	$1,578.52	$1,578.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $329.51 / $1,061.02	Professional		$296.56	$329.51	$1,061.02
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,153.28 / $1,219.19 / $1,318.04	Facility		$1,153.28	$1,219.19	$1,318.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.56 / $741.40 / $741.40	Professional		$296.56	$741.40	$741.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $910.27 / $1,219.19 / $1,578.52	Facility		$910.27	$1,219.19	$1,578.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $371.27 / $906.15	Professional		$166.99	$371.27	$906.15
United Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $659.02 / $994.20	Professional		$329.51	$659.02	$994.20