Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.10 / $1,278.07 / $2,171.46	Facility		$274.10	$1,278.07	$2,171.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $620.41 / $620.41 / $620.41	Professional		$620.41	$620.41	$620.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $511.62 / $511.62 / $511.62	Facility		$511.62	$511.62	$511.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $96.38 / $204.01	Professional		$96.38	$96.38	$204.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $887.20 / $887.20 / $887.20	Facility		$887.20	$887.20	$887.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $185.20 / $596.34	Professional		$185.20	$185.20	$596.34
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $648.20 / $685.24 / $740.80	Facility		$648.20	$685.24	$740.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.68 / $416.70 / $416.70	Professional		$166.68	$416.70	$416.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $511.62 / $685.24 / $887.20	Facility		$511.62	$685.24	$887.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $509.30 / $509.30	Professional		$96.38	$509.30	$509.30
United Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $370.40 / $558.79	Professional		$185.20	$370.40	$558.79