Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $882.16 / $1,014.48	Professional		$165.60	$882.16	$1,014.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $436.88 / $566.19 / $761.80	Professional		$436.88	$566.19	$761.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $165.60 / $882.16 / $1,235.02	Facility		$165.60	$882.16	$1,235.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $426.98 / $512.37 / $1,040.16	Professional		$426.98	$512.37	$1,040.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $566.25 / $823.88 / $1,083.59	Professional		$566.25	$823.88	$1,083.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $165.60 / $882.16 / $1,235.02	Facility		$165.60	$882.16	$1,235.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $269.27 / $814.30 / $1,135.20	Professional		$269.27	$814.30	$1,135.20
United Facility/Professional Professional Modifier Low / Median / High Price $452.81 / $776.34 / $996.51	Professional		$452.81	$776.34	$996.51