Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $854.72 / $2,464.00 / $11,709.00	Facility		$854.72	$2,464.00	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.75 / $241.20 / $962.38	Professional		$132.75	$241.20	$962.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.67 / $446.67 / $656.49	Professional		$446.67	$446.67	$656.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.62 / $957.29 / $1,347.33	Facility		$170.62	$957.29	$1,347.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $364.70 / $947.10 / $1,371.30	Professional		$364.70	$947.10	$1,371.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.85 / $816.25 / $1,304.00	Professional		$608.85	$816.25	$1,304.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.62 / $957.29 / $1,347.33	Facility		$170.62	$957.29	$1,347.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $300.32 / $762.45 / $1,304.00	Professional		$300.32	$762.45	$1,304.00
United Facility/Professional Professional Modifier Low / Median / High Price $511.45 / $542.54 / $1,247.83	Professional		$511.45	$542.54	$1,247.83