Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,071.52 / $4,897.79	Facility		$630.96	$1,071.52	$4,897.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $407.38 / $1,380.38	Professional		$338.84	$407.38	$1,380.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Facility		$1,148.15	$1,148.15	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $645.65	Professional		$288.40	$288.40	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $1,862.09	Facility		$416.87	$416.87	$1,862.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,348.96	Professional		$416.87	$416.87	$1,348.96
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,548.82 / $1,659.59	Facility		$1,445.44	$1,548.82	$1,659.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,148.15 / $1,995.26	Facility		$331.13	$1,148.15	$1,995.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $645.65	Professional		$288.40	$416.87	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $831.76 / $1,258.93	Professional		$251.19	$831.76	$1,258.93