Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.98 / $5,084.91 / $13,413.92	Facility		$584.98	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.43 / $221.68 / $1,069.44	Professional		$124.43	$221.68	$1,069.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.91 / $245.80 / $639.54	Professional		$135.91	$245.80	$639.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.33 / $631.66 / $1,497.22	Facility		$120.33	$631.66	$1,497.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $311.88 / $652.75 / $1,350.30	Professional		$311.88	$652.75	$1,350.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $386.40 / $682.59 / $1,151.89	Professional		$386.40	$682.59	$1,151.89
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.06 / $631.66 / $1,497.22	Facility		$145.06	$631.66	$1,497.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.68 / $544.50 / $1,104.00	Professional		$231.68	$544.50	$1,104.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.39 / $485.56 / $1,339.34	Professional		$258.39	$485.56	$1,339.34