Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.88 / $2,088.39 / $3,548.23	Facility		$447.88	$2,088.39	$3,548.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,013.78 / $1,013.78 / $1,945.85	Professional		$1,013.78	$1,013.78	$1,945.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.98 / $835.98 / $835.98	Facility		$835.98	$835.98	$835.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $30.68 / $65.91	Professional		$30.68	$30.68	$65.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,449.71 / $1,449.71 / $1,449.71	Facility		$1,449.71	$1,449.71	$1,449.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.62 / $302.62 / $974.44	Professional		$302.62	$302.62	$974.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.52 / $1,119.69 / $1,210.48	Facility		$227.52	$1,119.69	$1,210.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.36 / $680.90 / $680.90	Professional		$272.36	$680.90	$680.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $227.52 / $1,059.17 / $1,449.71	Facility		$227.52	$1,059.17	$1,449.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $65.91 / $272.36	Professional		$30.68	$65.91	$272.36
United Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $605.24 / $913.07	Professional		$58.33	$605.24	$913.07