Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.16 / $10,175.36 / $13,413.92	Facility		$632.16	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.06 / $206.48 / $1,072.17	Professional		$133.06	$206.48	$1,072.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.97 / $524.38 / $980.15	Professional		$390.97	$524.38	$980.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $169.67 / $799.50 / $1,501.04	Facility		$169.67	$799.50	$1,501.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $415.65 / $687.03 / $1,380.60	Professional		$415.65	$687.03	$1,380.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $642.50 / $912.00 / $1,254.73	Professional		$642.50	$912.00	$1,254.73
Providence Facility/Professional Facility Modifier Low / Median / High Price $202.49 / $879.45 / $1,501.04	Facility		$202.49	$879.45	$1,501.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $336.88 / $866.40 / $1,208.40	Professional		$336.88	$866.40	$1,208.40
United Facility/Professional Professional Modifier Low / Median / High Price $542.94 / $950.15 / $1,194.47	Professional		$542.94	$950.15	$1,194.47