Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.92 / $1,373.77 / $6,871.60	Facility		$457.92	$1,373.77	$6,871.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.44 / $737.57 / $2,045.12	Professional		$136.44	$737.57	$2,045.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.33 / $695.73 / $2,331.76	Professional		$164.33	$695.73	$2,331.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.97 / $572.40 / $2,863.17	Facility		$167.97	$572.40	$2,863.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $361.16 / $1,097.07 / $2,713.73	Professional		$361.16	$1,097.07	$2,713.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $381.60 / $1,342.80 / $4,038.40	Professional		$381.60	$1,342.80	$4,038.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.70 / $572.40 / $2,045.12	Facility		$194.70	$572.40	$2,045.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $304.72 / $854.42 / $4,064.68	Professional		$304.72	$854.42	$4,064.68
United Facility/Professional Professional Modifier Low / Median / High Price $763.82 / $2,079.40 / $3,164.08	Professional		$763.82	$2,079.40	$3,164.08