Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.73 / $1,504.83 / $2,556.75	Facility		$322.73	$1,504.83	$2,556.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.50 / $274.29 / $730.50	Professional		$243.50	$274.29	$730.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $602.40 / $602.40 / $602.40	Facility		$602.40	$602.40	$602.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.46 / $156.46 / $329.79	Professional		$156.46	$156.46	$329.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,044.61 / $1,044.61 / $1,044.61	Facility		$1,044.61	$1,044.61	$1,044.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $218.06 / $702.15	Professional		$218.06	$218.06	$702.15
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $763.21 / $839.53 / $1,376.73	Facility		$763.21	$839.53	$1,376.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.25 / $490.64 / $490.64	Professional		$196.25	$490.64	$490.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $602.40 / $839.53 / $1,376.73	Facility		$602.40	$839.53	$1,376.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.46 / $329.79 / $599.66	Professional		$156.46	$329.79	$599.66
United Facility/Professional Professional Modifier Low / Median / High Price $436.12 / $436.12 / $657.93	Professional		$436.12	$436.12	$657.93