Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $5,888.44 / $14,125.38	Facility		$446.68	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $380.19 / $870.96	Professional		$186.21	$380.19	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $549.54 / $1,096.48	Professional		$181.97	$549.54	$1,096.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $371.54 / $794.33	Facility		$181.97	$371.54	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $851.14 / $1,380.38	Professional		$389.05	$851.14	$1,380.38
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $954.99 / $1,778.28	Professional		$575.44	$954.99	$1,778.28
Providence Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $338.84 / $707.95	Facility		$162.18	$338.84	$707.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $389.05 / $891.25	Professional		$154.88	$389.05	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $831.76 / $1,819.70	Professional		$416.87	$831.76	$1,819.70