Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $912.01	Facility		$891.25	$891.25	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $1,096.48	Professional		$34.67	$44.67	$1,096.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $1,023.29	Professional		$363.08	$446.68	$1,023.29
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $891.25 / $4,897.79	Facility		$50.12	$891.25	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $645.65 / $1,230.27	Professional		$41.69	$645.65	$1,230.27
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $851.14 / $1,047.13	Professional		$812.83	$851.14	$1,047.13
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 / $467.74 / $831.76	Professional		$60.26	$467.74	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $120.23	Professional		$51.29	$72.44	$120.23