Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,621.81 / $3,090.30	Facility		$512.86	$1,621.81	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $870.96 / $1,148.15	Professional		$38.90	$870.96	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $660.69 / $1,122.02	Facility		$72.44	$660.69	$1,122.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $457.09 / $1,122.02	Professional		$42.66	$457.09	$1,122.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $512.86 / $5,370.32	Professional		$229.09	$512.86	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $660.69 / $1,047.13	Facility		$72.44	$660.69	$1,047.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,454.71 / $3,630.78	Professional		$1,479.11	$2,454.71	$3,630.78