Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.99 / $931.24 / $931.24	Professional		$178.99	$931.24	$931.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.50 / $598.04 / $854.37	Professional		$454.50	$598.04	$854.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $178.99 / $931.24 / $1,303.74	Facility		$178.99	$931.24	$1,303.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $489.25 / $587.10 / $1,191.84	Professional		$489.25	$587.10	$1,191.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $671.25 / $916.30 / $1,168.20	Professional		$671.25	$916.30	$1,168.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $185.88 / $931.24 / $1,303.74	Facility		$185.88	$931.24	$1,303.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $286.04 / $906.50 / $1,168.20	Professional		$286.04	$906.50	$1,168.20
United Facility/Professional Professional Modifier Low / Median / High Price $478.44 / $837.27 / $1,052.57	Professional		$478.44	$837.27	$1,052.57