Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $5,888.44 / $14,125.38	Facility		$478.63	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $776.25	Professional		$158.49	$229.09	$776.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $691.83	Professional		$512.86	$512.86	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $275.42 / $1,096.48	Facility		$181.97	$275.42	$1,096.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $1,412.54	Professional		$363.08	$660.69	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $891.25 / $1,202.26	Professional		$660.69	$891.25	$1,202.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $776.25 / $1,445.44	Facility		$275.42	$776.25	$1,445.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $204.17 / $691.83	Professional		$60.26	$204.17	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $537.03 / $1,023.29	Professional		$407.38	$537.03	$1,023.29