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 $169.82 / $223.87 / $870.96	Professional		$169.82	$223.87	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $724.44	Professional		$602.56	$602.56	$724.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $288.40 / $1,230.27	Facility		$208.93	$288.40	$1,230.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $724.44 / $1,621.81	Professional		$416.87	$724.44	$1,621.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,000.00 / $1,230.27	Professional		$758.58	$1,000.00	$1,230.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $870.96 / $1,584.89	Facility		$269.15	$870.96	$1,584.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $194.98 / $724.44	Professional		$60.26	$194.98	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,202.26	Professional		$457.09	$575.44	$1,202.26