Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,782.00 / $13,413.92	Facility		$4,473.04	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.07 / $1,095.60 / $1,095.60	Professional		$376.07	$1,095.60	$1,095.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.64 / $290.75 / $859.66	Professional		$248.64	$290.75	$859.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $94.22 / $526.50 / $1,533.85	Facility		$94.22	$526.50	$1,533.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.65 / $569.29 / $1,478.51	Professional		$208.65	$569.29	$1,478.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.55 / $532.97 / $1,596.00	Professional		$287.55	$532.97	$1,596.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $94.22 / $526.50 / $1,533.85	Facility		$94.22	$526.50	$1,533.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $225.90 / $532.97 / $1,596.00	Professional		$225.90	$532.97	$1,596.00
United Facility/Professional Professional Modifier Low / Median / High Price $451.00 / $687.74 / $1,719.35	Professional		$451.00	$687.74	$1,719.35