Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $5,888.44 / $14,125.38	Facility		$724.44	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $239.88 / $831.76	Professional		$147.91	$239.88	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $794.33	Professional		$562.34	$562.34	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $245.47 / $3,162.28	Facility		$147.91	$245.47	$3,162.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $812.83	Professional		$323.59	$549.54	$812.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $707.95 / $1,071.52	Professional		$416.87	$707.95	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $245.47 / $1,202.26	Facility		$141.25	$245.47	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $323.59 / $776.25	Professional		$60.26	$323.59	$776.25
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $645.65 / $912.01	Professional		$302.00	$645.65	$912.01