Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $6,309.57 / $14,125.38	Facility		$724.44	$6,309.57	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $870.96	Professional		$173.78	$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 / $309.03 / $1,621.81	Facility		$208.93	$309.03	$1,621.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $724.44 / $1,584.89	Professional		$288.40	$724.44	$1,584.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,000.00 / $1,202.26	Professional		$776.25	$1,000.00	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $870.96 / $1,584.89	Facility		$263.03	$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