Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $1,621.81 / $5,888.44	Facility		$371.54	$1,621.81	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.96 / $575.44	Professional		$100.00	$165.96	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $537.03	Professional		$389.05	$389.05	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $549.54 / $4,466.84	Facility		$104.71	$549.54	$4,466.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $562.34	Professional		$263.03	$389.05	$562.34
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $501.19 / $707.95	Professional		$295.12	$501.19	$707.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $169.82 / $812.83	Facility		$104.71	$169.82	$812.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $223.87 / $524.81	Professional		$60.26	$223.87	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $363.08 / $467.74	Professional		$190.55	$363.08	$467.74