Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,551.14 / $7,551.14 / $7,551.14	Facility		$7,551.14	$7,551.14	$7,551.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $258.06 / $258.06	Professional		$138.74	$258.06	$258.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $138.74 / $138.74	Facility		$138.74	$138.74	$138.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $196.33	Professional		$138.74	$138.74	$196.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.18 / $258.06 / $361.28	Facility		$136.18	$258.06	$361.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $138.74 / $180.36	Professional		$138.74	$138.74	$180.36
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.44 / $452.21 / $621.79	Facility		$209.44	$452.21	$621.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.58 / $310.89 / $339.16	Professional		$234.58	$310.89	$339.16
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.74 / $283.87 / $565.26	Facility		$138.74	$283.87	$565.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.74 / $171.20 / $339.16	Professional		$138.74	$171.20	$339.16
United Facility/Professional Professional Modifier Low / Median / High Price $208.11 / $211.95 / $422.22	Professional		$208.11	$211.95	$422.22