Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $5,888.44 / $14,125.38	Facility		$323.59	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $501.19	Professional		$117.49	$199.53	$501.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $562.34	Professional		$338.84	$338.84	$562.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $234.42 / $831.76	Facility		$123.03	$234.42	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $537.03 / $1,174.90	Professional		$257.04	$537.03	$1,174.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $660.69 / $1,023.29	Professional		$457.09	$660.69	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $501.19 / $1,148.15	Facility		$218.78	$501.19	$1,148.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $144.54 / $562.34	Professional		$60.26	$144.54	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $436.52 / $676.08	Professional		$245.47	$436.52	$676.08