Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.79 / $1,030.00 / $4,007.12	Facility		$646.79	$1,030.00	$4,007.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.30 / $1,396.21 / $2,679.90	Professional		$530.30	$1,396.21	$2,679.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,151.36 / $1,151.36 / $1,151.36	Facility		$1,151.36	$1,151.36	$1,151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.88 / $287.88 / $639.14	Professional		$287.88	$287.88	$639.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $896.28 / $896.28 / $1,996.58	Facility		$896.28	$896.28	$1,996.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $416.78 / $1,342.03	Professional		$416.78	$416.78	$1,342.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,458.73 / $1,604.60 / $2,688.43	Facility		$1,458.73	$1,604.60	$2,688.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $375.10 / $937.76 / $937.76	Professional		$375.10	$937.76	$937.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,151.36 / $1,604.60 / $2,688.43	Facility		$1,151.36	$1,604.60	$2,688.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $287.88 / $639.14 / $1,146.15	Professional		$287.88	$639.14	$1,146.15
United Facility/Professional Professional Modifier Low / Median / High Price $567.17 / $1,029.09 / $1,257.51	Professional		$567.17	$1,029.09	$1,257.51