Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.11 / $777.11 / $777.11	Facility		$777.11	$777.11	$777.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.35 / $274.35 / $274.35	Professional		$274.35	$274.35	$274.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.07 / $409.07 / $409.07	Facility		$409.07	$409.07	$409.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.71 / $409.07 / $421.34	Professional		$347.71	$409.07	$421.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $186.27 / $186.27	Facility		$186.27	$186.27	$186.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.00 / $266.00 / $380.00	Professional		$266.00	$266.00	$380.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $362.40 / $362.40 / $1,080.00	Facility		$362.40	$362.40	$1,080.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $560.00 / $1,080.00 / $1,560.00	Professional		$560.00	$1,080.00	$1,560.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $186.27 / $186.27 / $409.07	Facility		$186.27	$186.27	$409.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $362.40 / $1,000.00 / $1,560.00	Professional		$362.40	$1,000.00	$1,560.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.67 / $193.67 / $371.21	Professional		$193.67	$193.67	$371.21