Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.00 / $1,590.00 / $1,905.92	Facility		$1,590.00	$1,590.00	$1,905.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.23 / $77.26 / $163.01	Professional		$70.23	$77.26	$163.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,478.00 / $1,478.00 / $1,478.00	Facility		$1,478.00	$1,478.00	$1,478.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.34 / $111.51 / $241.11	Professional		$66.34	$111.51	$241.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.95 / $163.01 / $298.24	Facility		$67.95	$163.01	$298.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $218.73 / $512.60	Professional		$169.83	$218.73	$512.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.54 / $283.50 / $414.00	Professional		$165.54	$283.50	$414.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.22 / $163.01 / $298.24	Facility		$92.22	$163.01	$298.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.81 / $207.00 / $412.00	Professional		$83.81	$207.00	$412.00
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $900.00	Facility		$900.00	$900.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $205.68 / $488.49	Professional		$60.06	$205.68	$488.49