Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.73 / $6,541.00 / $13,413.92	Facility		$504.73	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.35 / $189.78 / $822.70	Professional		$102.35	$189.78	$822.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.39 / $339.39 / $556.26	Professional		$339.39	$339.39	$556.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.22 / $709.60 / $1,151.78	Facility		$131.22	$709.60	$1,151.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $271.70 / $705.60 / $1,167.76	Professional		$271.70	$705.60	$1,167.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $452.25 / $673.46 / $1,030.00	Professional		$452.25	$673.46	$1,030.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $131.22 / $709.60 / $1,151.78	Facility		$131.22	$709.60	$1,151.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $556.26 / $1,048.00	Professional		$231.75	$556.26	$1,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $433.37 / $445.00 / $1,017.20	Professional		$433.37	$445.00	$1,017.20