Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.00 / $1,174.20 / $3,732.62	Facility		$392.00	$1,174.20	$3,732.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,081.92 / $1,081.92 / $2,076.63	Professional		$1,081.92	$1,081.92	$2,076.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $892.16 / $892.16 / $892.16	Facility		$892.16	$892.16	$892.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.87 / $370.87 / $463.59	Professional		$236.87	$370.87	$463.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $171.17 / $171.17	Facility		$171.17	$171.17	$171.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $322.95 / $1,291.83	Professional		$322.95	$322.95	$1,291.83
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,130.35 / $1,243.40 / $2,083.17	Facility		$1,130.35	$1,243.40	$2,083.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $290.66 / $664.53 / $1,594.88	Professional		$290.66	$664.53	$1,594.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $171.17 / $171.17 / $1,130.35	Facility		$171.17	$171.17	$1,130.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $417.52 / $888.14	Professional		$322.95	$417.52	$888.14
United Facility/Professional Professional Modifier Low / Median / High Price $199.77 / $645.91 / $974.44	Professional		$199.77	$645.91	$974.44