Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.23 / $1,814.90 / $3,083.57	Facility		$389.23	$1,814.90	$3,083.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.28 / $218.28 / $881.02	Professional		$218.28	$218.28	$881.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.50 / $726.50 / $726.50	Facility		$726.50	$726.50	$726.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.86 / $136.86 / $289.69	Professional		$136.86	$136.86	$289.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,259.85 / $1,259.85 / $1,259.85	Facility		$1,259.85	$1,259.85	$1,259.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $262.99 / $846.83	Professional		$262.99	$262.99	$846.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $920.47 / $973.06 / $1,051.96	Facility		$920.47	$973.06	$1,051.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.69 / $591.73 / $591.73	Professional		$236.69	$591.73	$591.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $726.50 / $973.06 / $1,259.85	Facility		$726.50	$973.06	$1,259.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $136.86 / $723.22 / $723.22	Professional		$136.86	$723.22	$723.22
United Facility/Professional Professional Modifier Low / Median / High Price $262.99 / $525.98 / $793.50	Professional		$262.99	$525.98	$793.50