Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $12,022.64 / $20,892.96	Facility		$257.04	$12,022.64	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $1,698.24 / $3,019.95	Professional		$81.28	$1,698.24	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $602.56 / $5,128.61	Professional		$85.11	$602.56	$5,128.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $676.08 / $5,128.61	Facility		$91.20	$676.08	$5,128.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $1,995.26 / $10,471.29	Professional		$204.17	$1,995.26	$10,471.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $616.60 / $11,220.18	Professional		$223.87	$616.60	$11,220.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $2,238.72 / $5,248.07	Facility		$89.13	$2,238.72	$5,248.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $602.56 / $5,128.61	Professional		$81.28	$602.56	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $537.03 / $5,248.07	Professional		$83.18	$537.03	$5,248.07