Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $5,888.44 / $14,125.38	Facility		$562.34	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $1,905.46 / $2,754.23	Professional		$162.18	$1,905.46	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $5,623.41	Professional		$630.96	$630.96	$5,623.41
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,230.27 / $7,585.78	Facility		$213.80	$1,230.27	$7,585.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,513.56 / $10,715.19	Professional		$398.11	$1,513.56	$10,715.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,258.93 / $9,772.37	Professional		$691.83	$1,258.93	$9,772.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $1,230.27 / $10,715.19	Facility		$323.59	$1,230.27	$10,715.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $269.15 / $5,623.41	Professional		$60.26	$269.15	$5,623.41
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $1,288.25 / $7,079.46	Professional		$446.68	$1,288.25	$7,079.46