Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.78 / $1,416.51 / $3,030.66	Facility		$691.78	$1,416.51	$3,030.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.12 / $200.46 / $658.84	Professional		$155.12	$200.46	$658.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.34 / $552.34 / $654.58	Professional		$552.34	$552.34	$654.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $942.14 / $942.14 / $942.14	Facility		$942.14	$942.14	$942.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $563.79 / $1,016.75	Professional		$255.08	$563.79	$1,016.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.25 / $769.50 / $1,637.85	Professional		$671.25	$769.50	$1,637.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $902.61 / $902.61 / $942.14	Facility		$902.61	$902.61	$942.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $372.06 / $712.50 / $1,476.75	Professional		$372.06	$712.50	$1,476.75
United Facility/Professional Professional Modifier Low / Median / High Price $246.72 / $785.49 / $3,121.20	Professional		$246.72	$785.49	$3,121.20