Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,542.40 / $4,578.60 / $11,709.00	Facility		$1,542.40	$4,578.60	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.07 / $198.68 / $926.14	Professional		$122.07	$198.68	$926.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.41 / $332.92 / $614.73	Professional		$254.41	$332.92	$614.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $713.42 / $998.79 / $1,296.59	Facility		$713.42	$998.79	$1,296.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $369.55 / $443.46 / $579.33	Professional		$369.55	$443.46	$579.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.30 / $638.89 / $836.31	Professional		$412.30	$638.89	$836.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $713.42 / $998.79 / $1,296.59	Facility		$713.42	$998.79	$1,296.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.70 / $551.20 / $1,009.12	Professional		$269.70	$551.20	$1,009.12
United Facility/Professional Professional Modifier Low / Median / High Price $212.04 / $491.78 / $741.90	Professional		$212.04	$491.78	$741.90