Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.69 / $7,340.00 / $13,413.92	Facility		$583.69	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.62 / $786.16 / $989.95	Professional		$151.62	$786.16	$989.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.34 / $503.56 / $934.82	Professional		$384.34	$503.56	$934.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.25 / $786.16 / $1,385.93	Facility		$161.25	$786.16	$1,385.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $425.35 / $649.20 / $1,304.55	Professional		$425.35	$649.20	$1,304.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.70 / $893.70 / $1,157.09	Professional		$634.70	$893.70	$1,157.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.08 / $841.46 / $1,385.93	Facility		$194.08	$841.46	$1,385.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $337.50 / $853.10 / $1,157.09	Professional		$337.50	$853.10	$1,157.09
United Facility/Professional Professional Modifier Low / Median / High Price $274.02 / $853.67 / $1,095.78	Professional		$274.02	$853.67	$1,095.78