Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $2,089.30 / $4,677.35	Facility		$724.44	$2,089.30	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $239.88 / $630.96	Professional		$93.33	$239.88	$630.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $1,122.02	Professional		$257.04	$416.87	$1,122.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,659.59 / $4,570.88	Facility		$489.78	$1,659.59	$4,570.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $467.74 / $1,258.93	Professional		$223.87	$467.74	$1,258.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $1,380.38	Professional		$398.11	$575.44	$1,380.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $346.74 / $1,288.25	Facility		$91.20	$346.74	$1,288.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $234.42 / $616.60	Professional		$60.26	$234.42	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $602.56 / $1,445.44	Professional		$239.88	$602.56	$1,445.44