Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.00 / $990.00 / $4,132.51	Facility		$392.00	$990.00	$4,132.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,197.83 / $1,197.83 / $2,299.11	Professional		$1,197.83	$1,197.83	$2,299.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $987.74 / $987.74 / $987.74	Facility		$987.74	$987.74	$987.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.29 / $410.94 / $513.66	Professional		$262.29	$410.94	$513.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $189.51 / $189.51	Facility		$189.51	$189.51	$189.51
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $357.56 / $357.56 / $1,430.24	Professional		$357.56	$357.56	$1,430.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,251.46 / $1,376.61 / $2,306.44	Facility		$1,251.46	$1,376.61	$2,306.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.80 / $735.72 / $1,765.72	Professional		$321.80	$735.72	$1,765.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $189.51 / $189.51 / $1,251.46	Facility		$189.51	$189.51	$1,251.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $357.56 / $462.26 / $983.29	Professional		$357.56	$462.26	$983.29
United Facility/Professional Professional Modifier Low / Median / High Price $221.17 / $715.12 / $1,078.83	Professional		$221.17	$715.12	$1,078.83