Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,595.87	Facility		$2,511.89	$6,606.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $281.84	Professional		$109.65	$223.87	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $281.84 / $512.86	Facility		$141.25	$281.84	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $588.84 / $1,412.54	Professional		$245.47	$588.84	$1,412.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $1,071.52	Professional		$436.52	$707.95	$1,071.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $281.84 / $512.86	Facility		$141.25	$281.84	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $165.96 / $346.74	Professional		$60.26	$165.96	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $616.60 / $1,479.11	Professional		$281.84	$616.60	$1,479.11