Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $323.59	Professional		$138.04	$190.55	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $501.19 / $575.44	Professional		$323.59	$501.19	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $223.87 / $426.58	Facility		$75.86	$223.87	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $169.82 / $478.63	Professional		$138.04	$169.82	$478.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $645.65 / $1,071.52	Professional		$602.56	$645.65	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $190.55 / $354.81	Facility		$91.20	$190.55	$354.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $2,238,721.14 / $2,630,267.99	Professional		$162.18	$2,238,721.14	$2,630,267.99
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $446.68 / $758.58	Professional		$354.81	$446.68	$758.58