Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,089.30 / $9,772.37	Facility		$346.74	$2,089.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $389.05 / $933.25	Professional		$72.44	$389.05	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $1,412.54	Professional		$275.42	$275.42	$1,412.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,737.80 / $3,019.95	Facility		$346.74	$1,737.80	$3,019.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $602.56 / $2,238.72	Professional		$162.18	$602.56	$2,238.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $512.86 / $2,630.27	Professional		$302.00	$512.86	$2,630.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $562.34 / $2,398.83	Facility		$138.04	$562.34	$2,398.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $1,412.54	Professional		$60.26	$107.15	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $776.25 / $2,951.21	Professional		$194.98	$776.25	$2,951.21