Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,569.08 / $1,569.08 / $1,569.08	Facility		$1,569.08	$1,569.08	$1,569.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $208.28 / $448.31	Professional		$166.28	$208.28	$448.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.59 / $284.12 / $662.02	Professional		$188.59	$284.12	$662.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.47 / $448.31 / $728.80	Facility		$190.47	$448.31	$728.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $491.68 / $633.28 / $1,421.97	Professional		$491.68	$633.28	$1,421.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $414.40 / $760.00 / $1,112.64	Professional		$414.40	$760.00	$1,112.64
Providence Facility/Professional Facility Modifier Low / Median / High Price $190.47 / $448.31 / $728.80	Facility		$190.47	$448.31	$728.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $236.09 / $534.61 / $1,042.00	Professional		$236.09	$534.61	$1,042.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.97 / $512.08 / $1,393.82	Professional		$201.97	$512.08	$1,393.82