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 $100.01 / $100.01 / $222.36	Professional		$100.01	$100.01	$222.36
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 / $788.76	Facility		$676.38	$715.03	$788.76
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 / $744.01 / $925.77	Facility		$533.84	$744.01	$925.77
Providence Facility/Professional Professional Modifier Low / Median / High Price $100.01 / $222.36 / $531.44	Professional		$100.01	$222.36	$531.44
United Facility/Professional Professional Modifier Low / Median / High Price $197.19 / $386.50 / $583.08	Professional		$197.19	$386.50	$583.08