Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $1,023.29 / $14,125.38	Facility		$50.12	$1,023.29	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $398.11 / $1,000.00	Professional		$77.62	$398.11	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $1,445.44	Professional		$295.12	$295.12	$1,445.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $416.87 / $2,454.71	Facility		$75.86	$416.87	$2,454.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $630.96 / $2,344.23	Professional		$173.78	$630.96	$2,344.23
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $549.54 / $2,691.53	Professional		$323.59	$549.54	$2,691.53
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $602.56 / $2,454.71	Facility		$147.91	$602.56	$2,454.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $1,445.44	Professional		$60.26	$114.82	$1,445.44
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $794.33 / $3,090.30	Professional		$208.93	$794.33	$3,090.30