Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.28 / $4,421.68 / $7,512.57	Facility		$948.28	$4,421.68	$7,512.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,146.44 / $2,146.44 / $2,146.44	Professional		$2,146.44	$2,146.44	$2,146.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,770.00 / $1,770.00 / $1,770.00	Facility		$1,770.00	$1,770.00	$1,770.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $736.38 / $736.38 / $920.47	Professional		$736.38	$736.38	$920.47
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $384.44 / $384.44 / $384.44	Facility		$384.44	$384.44	$384.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $640.73 / $640.73 / $2,562.92	Professional		$640.73	$640.73	$2,562.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,370.69 / $2,370.69 / $2,562.92	Facility		$2,370.69	$2,370.69	$2,562.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.66 / $961.10 / $2,562.92	Professional		$576.66	$961.10	$2,562.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $384.44 / $384.44 / $384.44	Facility		$384.44	$384.44	$384.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $608.69 / $640.73 / $1,762.01	Professional		$608.69	$640.73	$1,762.01
United Facility/Professional Professional Modifier Low / Median / High Price $288.33 / $1,281.46 / $1,281.46	Professional		$288.33	$1,281.46	$1,281.46