Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.15 / $1,730.63 / $2,940.39	Facility		$371.15	$1,730.63	$2,940.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $840.11 / $840.11 / $1,612.52	Professional		$840.11	$840.11	$1,612.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $692.79 / $692.79 / $692.79	Facility		$692.79	$692.79	$692.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $288.27 / $360.34	Professional		$288.27	$288.27	$360.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.65 / $182.65 / $182.65	Facility		$182.65	$182.65	$182.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.78 / $250.78 / $1,003.12	Professional		$250.78	$250.78	$1,003.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $877.73 / $965.50 / $1,584.91	Facility		$877.73	$965.50	$1,584.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.70 / $505.56 / $1,213.35	Professional		$225.70	$505.56	$1,213.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.65 / $182.65 / $877.73	Facility		$182.65	$182.65	$877.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $245.70 / $317.64 / $689.65	Professional		$245.70	$317.64	$689.65
United Facility/Professional Professional Modifier Low / Median / High Price $95.55 / $501.56 / $756.66	Professional		$95.55	$501.56	$756.66