Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.10 / $1,620.33 / $2,972.14	Facility		$486.10	$1,620.33	$2,972.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.95 / $462.95 / $462.95	Professional		$462.95	$462.95	$462.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $336.44 / $336.44 / $336.44	Professional		$336.44	$336.44	$336.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.91 / $167.91 / $662.02	Facility		$167.91	$167.91	$662.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $623.75 / $890.72 / $5,356.42	Professional		$623.75	$890.72	$5,356.42
Providence Facility/Professional Facility Modifier Low / Median / High Price $462.95 / $634.24 / $662.02	Facility		$462.95	$634.24	$662.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $775.00 / $3,995.04 / $5,568.00	Professional		$775.00	$3,995.04	$5,568.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,004.73 / $2,383.16 / $3,719.94	Professional		$1,004.73	$2,383.16	$3,719.94