Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $186.21 / $295.12	Professional		$181.97	$186.21	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $426.58 / $1,047.13	Facility		$295.12	$426.58	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $60.26 / $295.12	Professional		$11.75	$60.26	$295.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $478.63	Facility		$309.03	$309.03	$478.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $426.58	Facility		$295.12	$295.12	$426.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $60.26 / $186.21	Professional		$11.75	$60.26	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $812.83	Professional		$181.97	$275.42	$812.83