Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $549.54	Facility		$537.03	$537.03	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $707.95	Professional		$34.67	$44.67	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $794.33	Professional		$199.53	$257.04	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $537.03 / $4,897.79	Facility		$50.12	$537.03	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $389.05 / $812.83	Professional		$41.69	$389.05	$812.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $478.63 / $575.44	Professional		$446.68	$478.63	$575.44
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 / $346.74 / $575.44	Professional		$60.26	$346.74	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $120.23	Professional		$51.29	$72.44	$120.23