Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.45 / $3,040.45 / $10,900.00	Facility		$792.45	$3,040.45	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $183.79 / $813.84	Professional		$111.25	$183.79	$813.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.38 / $291.55 / $537.15	Professional		$227.38	$291.55	$537.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $633.96 / $887.54 / $1,139.38	Facility		$633.96	$887.54	$1,139.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $326.70 / $392.04 / $504.60	Professional		$326.70	$392.04	$504.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $324.42 / $564.79 / $726.96	Professional		$324.42	$564.79	$726.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $633.96 / $887.54 / $1,139.38	Facility		$633.96	$887.54	$1,139.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.43 / $490.10 / $888.00	Professional		$229.43	$490.10	$888.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.44 / $429.72 / $648.28	Professional		$185.44	$429.72	$648.28