Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.03 / $1,776.67 / $3,018.61	Facility		$381.03	$1,776.67	$3,018.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $862.46 / $862.46 / $1,655.40	Professional		$862.46	$862.46	$1,655.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.20 / $711.20 / $711.20	Facility		$711.20	$711.20	$711.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.77 / $188.77 / $397.89	Professional		$188.77	$188.77	$397.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,233.32 / $1,233.32 / $1,233.32	Facility		$1,233.32	$1,233.32	$1,233.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $257.45 / $828.99	Professional		$257.45	$257.45	$828.99
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $901.07 / $991.18 / $1,660.66	Facility		$901.07	$991.18	$1,660.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.71 / $579.26 / $579.26	Professional		$231.71	$579.26	$579.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $711.20 / $991.18 / $1,660.66	Facility		$711.20	$991.18	$1,660.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.77 / $397.89 / $707.99	Professional		$188.77	$397.89	$707.99
United Facility/Professional Professional Modifier Low / Median / High Price $353.88 / $635.67 / $776.78	Professional		$353.88	$635.67	$776.78