Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $457.09	Facility		$446.68	$446.68	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $44.67 / $549.54	Professional		$34.67	$44.67	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $199.53 / $457.09	Professional		$158.49	$199.53	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $446.68 / $4,897.79	Facility		$50.12	$446.68	$4,897.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $323.59 / $616.60	Professional		$41.69	$323.59	$616.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $380.19 / $467.74	Professional		$363.08	$380.19	$467.74
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 / $208.93 / $416.87	Professional		$60.26	$208.93	$416.87
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $120.23	Professional		$51.29	$72.44	$120.23