Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $6,025.60 / $14,125.38	Facility		$691.83	$6,025.60	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $489.78	Professional		$83.18	$158.49	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $239.88 / $602.56	Professional		$102.33	$239.88	$602.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $181.97 / $524.81	Facility		$91.20	$181.97	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $562.34 / $1,445.44	Professional		$199.53	$562.34	$1,445.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $1,023.29	Professional		$281.84	$489.78	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $165.96 / $524.81	Facility		$91.20	$165.96	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $229.09 / $707.95	Professional		$87.10	$229.09	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $257.04 / $776.25	Professional		$93.33	$257.04	$776.25