Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $2,344.23 / $4,073.80	Facility		$489.78	$2,344.23	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $1,096.48	Professional		$263.03	$316.23	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Facility		$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $363.08	Professional		$169.82	$169.82	$363.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $1,479.11	Facility		$331.13	$331.13	$1,479.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $1,071.52	Professional		$331.13	$331.13	$1,071.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,230.27 / $1,318.26	Facility		$331.13	$1,230.27	$1,318.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $912.01 / $1,584.89	Facility		$263.03	$912.01	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $363.08	Professional		$169.82	$169.82	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $660.69 / $1,000.00	Professional		$199.53	$660.69	$1,000.00