Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $5,128.61 / $14,125.38	Facility		$851.14	$5,128.61	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $912.01	Professional		$158.49	$275.42	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $933.25	Professional		$616.60	$616.60	$933.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $309.03 / $2,951.21	Facility		$165.96	$309.03	$2,951.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $954.99	Professional		$398.11	$660.69	$954.99
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $1,230.27	Professional		$467.74	$794.33	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $309.03 / $1,412.54	Facility		$165.96	$309.03	$1,412.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $363.08 / $933.25	Professional		$60.26	$363.08	$933.25
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $758.58	Professional		$338.84	$501.19	$758.58