Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $12,022.64 / $16,595.87	Facility		$562.34	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $218.78 / $562.34	Professional		$173.78	$218.78	$562.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $630.96 / $794.33	Professional		$467.74	$630.96	$794.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $323.59 / $1,258.93	Facility		$169.82	$323.59	$1,258.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $549.54 / $1,000.00	Professional		$426.58	$549.54	$1,000.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,122.02	Professional		$602.56	$776.25	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $323.59 / $977.24	Facility		$173.78	$323.59	$977.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $263.03 / $630.96	Professional		$60.26	$263.03	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $501.19 / $1,258.93	Professional		$208.93	$501.19	$1,258.93