Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $5,888.44 / $14,125.38	Facility		$758.58	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $323.59 / $831.76	Professional		$229.09	$323.59	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $794.33 / $1,258.93	Professional		$616.60	$794.33	$1,258.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $524.81 / $1,737.80	Facility		$239.88	$524.81	$1,737.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $977.24 / $1,513.56	Professional		$602.56	$977.24	$1,513.56
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,202.26 / $1,621.81	Professional		$870.96	$1,202.26	$1,621.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $407.38 / $1,513.56	Facility		$269.15	$407.38	$1,513.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $371.54 / $794.33	Professional		$60.26	$371.54	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $1,096.48 / $1,445.44	Professional		$281.84	$1,096.48	$1,445.44