Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,800.38 / $8,946.96 / $9,493.20	Facility		$5,800.38	$8,946.96	$9,493.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $281.17 / $281.17	Professional		$151.16	$281.17	$281.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $151.16 / $151.16	Facility		$151.16	$151.16	$151.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $213.91	Professional		$151.16	$151.16	$213.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $281.17 / $402.07	Facility		$150.33	$281.17	$402.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $197.08	Professional		$151.16	$151.16	$197.08
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $238.99 / $641.28 / $3,495.87	Facility		$238.99	$641.28	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.66 / $440.88 / $480.96	Professional		$332.66	$440.88	$480.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $151.16 / $281.17 / $801.60	Facility		$151.16	$281.17	$801.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $190.19 / $480.96	Professional		$151.16	$190.19	$480.96
United Facility/Professional Professional Modifier Low / Median / High Price $226.76 / $226.76 / $453.51	Professional		$226.76	$226.76	$453.51