Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.65 / $6,541.00 / $13,413.92	Facility		$515.65	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $254.69 / $870.01	Professional		$44.32	$254.69	$870.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.81 / $179.81 / $624.65	Professional		$179.81	$179.81	$624.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.02 / $356.57 / $1,218.01	Facility		$63.02	$356.57	$1,218.01
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $413.66 / $1,165.73	Professional		$141.69	$413.66	$1,165.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.10 / $687.50 / $1,146.00	Professional		$197.10	$687.50	$1,146.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.02 / $356.57 / $1,218.01	Facility		$63.02	$356.57	$1,218.01
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.04 / $334.50 / $1,146.00	Professional		$108.04	$334.50	$1,146.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $499.72 / $1,249.30	Professional		$375.00	$499.72	$1,249.30