Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $5,888.44 / $14,125.38	Facility		$501.19	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $213.80 / $776.25	Professional		$158.49	$213.80	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $616.60	Professional		$562.34	$562.34	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $263.03 / $1,096.48	Facility		$190.55	$263.03	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $1,288.25	Professional		$371.54	$575.44	$1,288.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $776.25 / $1,047.13	Professional		$676.08	$776.25	$1,047.13
Providence Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $776.25 / $1,202.26	Facility		$295.12	$776.25	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $173.78 / $616.60	Professional		$60.26	$173.78	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $489.78 / $1,122.02	Professional		$346.74	$489.78	$1,122.02