Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,023.29 / $9,772.37	Facility		$389.05	$1,023.29	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $199.53 / $457.09	Professional		$70.79	$199.53	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $223.87 / $616.60	Professional		$83.18	$223.87	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $257.04 / $1,047.13	Facility		$83.18	$257.04	$1,047.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $501.19 / $1,288.25	Professional		$177.83	$501.19	$1,288.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $436.52 / $1,122.02	Professional		$223.87	$436.52	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $239.88 / $575.44	Facility		$97.72	$239.88	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $223.87 / $616.60	Professional		$70.79	$223.87	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $213.80 / $707.95	Professional		$77.62	$213.80	$707.95