Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $724.44	Facility		$407.38	$407.38	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $512.86	Professional		$239.88	$309.03	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Facility		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $316.23	Professional		$213.80	$213.80	$316.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $512.86 / $575.44	Facility		$141.25	$512.86	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $575.44 / $912.01	Professional		$338.84	$575.44	$912.01
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $602.56	Facility		$398.11	$588.84	$602.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $588.84 / $602.56	Professional		$478.63	$588.84	$602.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $141.25 / $588.84	Facility		$141.25	$141.25	$588.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $295.12 / $436.52	Professional		$60.26	$295.12	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $281.84	Facility		$213.80	$213.80	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $1,479.11	Professional		$234.42	$331.13	$1,479.11