Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $309.03 / $489.78	Professional		$302.00	$309.03	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $707.95 / $1,737.80	Facility		$489.78	$707.95	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $302.00 / $489.78	Professional		$60.26	$302.00	$489.78
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $512.86 / $812.83	Facility		$275.42	$512.86	$812.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $489.78 / $707.95	Facility		$489.78	$489.78	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $309.03 / $478.63	Professional		$60.26	$309.03	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $457.09 / $851.14	Professional		$302.00	$457.09	$851.14