Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.00 / $2,079.61 / $3,533.32	Facility		$446.00	$2,079.61	$3,533.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.52 / $1,009.52 / $1,937.68	Professional		$1,009.52	$1,009.52	$1,937.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $832.49 / $832.49 / $832.49	Facility		$832.49	$832.49	$832.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $151.74 / $341.54	Professional		$151.74	$151.74	$341.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,443.61 / $1,443.61 / $1,443.61	Facility		$1,443.61	$1,443.61	$1,443.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $970.35	Professional		$301.35	$301.35	$970.35
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,054.73 / $1,115.00 / $1,205.40	Facility		$1,054.73	$1,115.00	$1,205.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $271.22 / $678.04 / $678.04	Professional		$271.22	$678.04	$678.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $832.49 / $1,115.00 / $1,443.61	Facility		$832.49	$1,115.00	$1,443.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $341.54 / $828.71	Professional		$151.74	$341.54	$828.71
United Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $602.70 / $909.24	Professional		$301.35	$602.70	$909.24