Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.75 / $1,896.60 / $3,222.38	Facility		$406.75	$1,896.60	$3,222.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $920.68 / $920.68 / $1,767.16	Professional		$920.68	$920.68	$1,767.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $759.22 / $759.22 / $759.22	Facility		$759.22	$759.22	$759.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.49 / $138.49 / $311.72	Professional		$138.49	$138.49	$311.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,316.57 / $1,316.57 / $1,316.57	Facility		$1,316.57	$1,316.57	$1,316.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $884.95	Professional		$274.83	$274.83	$884.95
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $961.91 / $1,016.87 / $1,099.32	Facility		$961.91	$1,016.87	$1,099.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.35 / $618.37 / $618.37	Professional		$247.35	$618.37	$618.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $759.22 / $1,016.87 / $1,316.57	Facility		$759.22	$1,016.87	$1,316.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.49 / $311.72 / $755.78	Professional		$138.49	$311.72	$755.78
United Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $549.66 / $829.22	Professional		$274.83	$549.66	$829.22