Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,995.14 / $3,995.14 / $3,995.14	Facility		$3,995.14	$3,995.14	$3,995.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $131.49 / $131.49	Professional		$70.70	$131.49	$131.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $100.04	Professional		$70.70	$70.70	$100.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $71.04 / $131.49 / $188.03	Facility		$71.04	$131.49	$188.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $106.05	Professional		$70.70	$70.70	$106.05
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $480.00 / $3,495.87	Facility		$109.65	$480.00	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.00 / $330.00 / $360.00	Professional		$249.00	$330.00	$360.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $131.49 / $600.00	Facility		$70.70	$131.49	$600.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $119.28 / $360.00	Professional		$70.70	$119.28	$360.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.05 / $106.05 / $212.10	Professional		$106.05	$106.05	$212.10