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 $115.51 / $601.60 / $721.91	Professional		$115.51	$601.60	$721.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.63 / $412.29 / $532.19	Professional		$303.63	$412.29	$532.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $115.51 / $601.60 / $842.24	Facility		$115.51	$601.60	$842.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $173.85 / $1,472.50	Professional		$121.70	$173.85	$1,472.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.50 / $626.08 / $807.40	Professional		$457.50	$626.08	$807.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.47 / $601.60 / $842.24	Facility		$136.47	$601.60	$842.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.25 / $615.45 / $847.77	Professional		$275.25	$615.45	$847.77
United Facility/Professional Professional Modifier Low / Median / High Price $329.84 / $577.22 / $725.65	Professional		$329.84	$577.22	$725.65