Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.92 / $3,478.10 / $5,909.40	Facility		$745.92	$3,478.10	$5,909.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $745.92 / $1,688.40 / $1,688.40	Professional		$745.92	$1,688.40	$1,688.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,392.30 / $1,392.30 / $1,392.30	Facility		$1,392.30	$1,392.30	$1,392.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $579.03 / $579.03 / $723.78	Professional		$579.03	$579.03	$723.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $302.39 / $418.32	Facility		$302.39	$302.39	$418.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $504.00 / $1,622.88	Professional		$504.00	$504.00	$1,622.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,764.00 / $1,864.80 / $2,016.00	Facility		$1,764.00	$1,864.80	$2,016.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.60 / $1,134.00 / $2,016.00	Professional		$453.60	$1,134.00	$2,016.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $302.39 / $302.39 / $624.96	Facility		$302.39	$302.39	$624.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $478.80 / $504.00 / $1,386.00	Professional		$478.80	$504.00	$1,386.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.80 / $1,008.00 / $1,520.67	Professional		$226.80	$1,008.00	$1,520.67