Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $630.96 / $645.65	Facility		$630.96	$630.96	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $758.58	Professional		$34.67	$44.67	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $691.83	Professional		$239.88	$302.00	$691.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $630.96 / $4,897.79	Facility		$50.12	$630.96	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $457.09 / $870.96	Professional		$41.69	$457.09	$870.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $575.44 / $691.83	Professional		$537.03	$575.44	$691.83
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $3,311.31 / $5,128.61	Facility		$50.12	$3,311.31	$5,128.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $309.03 / $575.44	Professional		$60.26	$309.03	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $120.23	Professional		$51.29	$72.44	$120.23