Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,344.23 / $3,715.35	Facility		$1,288.25	$2,344.23	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $281.84 / $1,000.00	Professional		$245.47	$281.84	$1,000.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $1,445.44	Facility		$302.00	$302.00	$1,445.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $977.24	Professional		$302.00	$302.00	$977.24
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $1,122.02 / $1,202.26	Facility		$302.00	$1,122.02	$1,202.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $831.76 / $1,445.44	Facility		$239.88	$831.76	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $602.56 / $912.01	Professional		$181.97	$602.56	$912.01