Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.60 / $3,998.85 / $6,794.17	Facility		$857.60	$3,998.85	$6,794.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,941.19 / $1,941.19 / $3,725.93	Professional		$1,941.19	$1,941.19	$3,725.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,600.76 / $1,600.76 / $1,600.76	Facility		$1,600.76	$1,600.76	$1,600.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.69 / $665.76 / $832.20	Professional		$293.69	$665.76	$832.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $259.73 / $259.73 / $259.73	Facility		$259.73	$259.73	$259.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $579.46 / $579.46 / $2,317.84	Professional		$579.46	$579.46	$2,317.84
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,028.11 / $2,144.00 / $2,317.84	Facility		$2,028.11	$2,144.00	$2,317.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.51 / $875.28 / $2,317.84	Professional		$521.51	$875.28	$2,317.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $259.73 / $259.73 / $259.73	Facility		$259.73	$259.73	$259.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $520.79 / $579.46 / $1,593.52	Professional		$520.79	$579.46	$1,593.52
United Facility/Professional Professional Modifier Low / Median / High Price $260.76 / $1,158.92 / $1,748.35	Professional		$260.76	$1,158.92	$1,748.35