Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.90 / $6,541.00 / $13,413.92	Facility		$558.90	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $558.90 / $947.90	Professional		$160.13	$558.90	$947.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.05 / $573.41 / $852.75	Professional		$427.05	$573.41	$852.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.58 / $861.80 / $1,327.06	Facility		$180.58	$861.80	$1,327.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $443.15 / $590.97 / $1,187.55	Professional		$443.15	$590.97	$1,187.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.00 / $906.50 / $1,104.00	Professional		$625.00	$906.50	$1,104.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $180.58 / $861.80 / $1,327.06	Facility		$180.58	$861.80	$1,327.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $363.69 / $872.85 / $1,128.59	Professional		$363.69	$872.85	$1,128.59
United Facility/Professional Professional Modifier Low / Median / High Price $503.92 / $863.68 / $1,108.61	Professional		$503.92	$863.68	$1,108.61