Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,090.30 / $6,025.60	Facility		$954.99	$3,090.30	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $281.84 / $660.69	Professional		$120.23	$281.84	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $870.96	Professional		$147.91	$309.03	$870.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $416.87 / $4,365.16	Facility		$147.91	$416.87	$4,365.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $707.95 / $1,659.59	Professional		$263.03	$707.95	$1,659.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $758.58 / $1,548.82	Professional		$380.19	$758.58	$1,548.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $354.81 / $758.58	Facility		$165.96	$354.81	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $323.59 / $870.96	Professional		$120.23	$323.59	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $354.81 / $1,096.48	Professional		$128.82	$354.81	$1,096.48