Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,913.96 / $5,583.91 / $5,583.91	Facility		$3,913.96	$5,583.91	$5,583.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.92 / $187.92 / $187.92	Professional		$187.92	$187.92	$187.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Facility		$101.03	$101.03	$101.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $142.97	Professional		$101.03	$101.03	$142.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $187.92 / $263.08	Facility		$98.54	$187.92	$263.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $134.90	Professional		$101.03	$101.03	$134.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $159.54 / $287.11 / $500.03	Facility		$159.54	$287.11	$500.03
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.22 / $225.59 / $246.10	Professional		$170.22	$225.59	$246.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $211.71 / $410.16	Facility		$101.03	$211.71	$410.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $129.34 / $246.10	Professional		$101.03	$129.34	$246.10
United Facility/Professional Professional Modifier Low / Median / High Price $151.55 / $151.55 / $303.08	Professional		$151.55	$151.55	$303.08