Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $741.31	Facility		$724.44	$724.44	$741.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $794.33	Professional		$34.67	$44.67	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $812.83	Professional		$281.84	$346.74	$812.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $724.44 / $4,897.79	Facility		$50.12	$724.44	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $512.86 / $977.24	Professional		$41.69	$512.86	$977.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $660.69 / $812.83	Professional		$630.96	$660.69	$812.83
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 / $363.08 / $660.69	Professional		$60.26	$363.08	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $120.23	Professional		$51.29	$72.44	$120.23