Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,862.09 / $3,162.28	Facility		$380.19	$1,862.09	$3,162.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $251.19 / $870.96	Professional		$208.93	$251.19	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $398.11	Professional		$190.55	$190.55	$398.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $1,148.15	Facility		$257.04	$257.04	$1,148.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $831.76	Professional		$257.04	$257.04	$831.76
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $1,000.00 / $1,659.59	Facility		$891.25	$1,000.00	$1,659.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $707.95 / $1,230.27	Facility		$204.17	$707.95	$1,230.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $257.04 / $398.11	Professional		$190.55	$257.04	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $512.86 / $776.25	Professional		$154.88	$512.86	$776.25