Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $2,691.53 / $4,570.88	Facility		$549.54	$2,691.53	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $363.08 / $1,258.93	Professional		$302.00	$363.08	$1,258.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $1,698.24	Facility		$371.54	$371.54	$1,698.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $371.54 / $1,202.26	Professional		$363.08	$371.54	$1,202.26
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,380.38 / $1,513.56	Facility		$371.54	$1,380.38	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,047.13 / $1,778.28	Facility		$302.00	$1,047.13	$1,778.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $338.84 / $338.84	Professional		$190.55	$338.84	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $758.58 / $1,122.02	Professional		$223.87	$758.58	$1,122.02