Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $371.54	Facility		$363.08	$363.08	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $371.54	Professional		$34.67	$44.67	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.36 / $346.74	Professional		$120.23	$151.36	$346.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $363.08 / $4,897.79	Facility		$50.12	$363.08	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $251.19 / $478.63	Professional		$41.69	$251.19	$478.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $281.84 / $346.74	Professional		$269.15	$281.84	$346.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $3,311.31 / $5,128.61	Facility		$50.12	$3,311.31	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $154.88 / $331.13	Professional		$60.26	$154.88	$331.13
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $120.23	Professional		$51.29	$72.44	$120.23