Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.68 / $416.68 / $1,226.11	Facility		$416.68	$416.68	$1,226.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.95 / $943.17 / $1,579.08	Professional		$913.95	$943.17	$1,579.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.72 / $329.72 / $329.72	Facility		$329.72	$329.72	$329.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.46 / $288.44 / $302.57	Professional		$181.46	$288.44	$302.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,348.73 / $1,348.73 / $1,348.73	Facility		$1,348.73	$1,348.73	$1,348.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $281.20 / $670.53 / $1,209.25	Professional		$281.20	$670.53	$1,209.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.00 / $927.45 / $1,264.53	Professional		$740.00	$927.45	$1,264.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $329.72 / $329.72 / $1,348.73	Facility		$329.72	$329.72	$1,348.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.84 / $858.75 / $1,355.01	Professional		$196.84	$858.75	$1,355.01
United Facility/Professional Professional Modifier Low / Median / High Price $366.64 / $576.88 / $865.32	Professional		$366.64	$576.88	$865.32