Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.75 / $4,995.14 / $10,900.00	Facility		$371.75	$4,995.14	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $297.39 / $693.49	Professional		$54.82	$297.39	$693.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.08 / $486.28 / $838.32	Professional		$257.08	$486.28	$838.32
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $139.43 / $327.14 / $970.89	Facility		$139.43	$327.14	$970.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $158.61 / $370.60 / $833.40	Professional		$158.61	$370.60	$833.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.35 / $671.35 / $1,517.10	Professional		$244.35	$671.35	$1,517.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.43 / $388.24 / $970.89	Facility		$139.43	$388.24	$970.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $223.75 / $789.25 / $1,594.00	Professional		$223.75	$789.25	$1,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $668.50 / $1,173.66 / $1,475.45	Professional		$668.50	$1,173.66	$1,475.45