Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $3,388.44	Facility		$1,174.90	$2,137.96	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $257.04 / $912.01	Professional		$14.13	$257.04	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $1,318.26	Facility		$275.42	$275.42	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $891.25	Professional		$275.42	$275.42	$891.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $1,023.29 / $1,096.48	Facility		$275.42	$1,023.29	$1,096.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $758.58 / $1,318.26	Facility		$218.78	$758.58	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $549.54 / $831.76	Professional		$165.96	$549.54	$831.76