Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $6,825.52 / $13,413.92	Facility		$1,872.00	$6,825.52	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.81 / $160.61 / $811.99	Professional		$154.81	$160.61	$811.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $524.03 / $524.03 / $524.03	Professional		$524.03	$524.03	$524.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.05 / $748.55 / $1,070.43	Facility		$194.05	$748.55	$1,070.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $993.30 / $1,268.67	Professional		$382.50	$993.30	$1,268.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.25 / $685.85 / $983.40	Professional		$591.25	$685.85	$983.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.05 / $748.55 / $1,070.43	Facility		$194.05	$748.55	$1,070.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $213.28 / $669.00 / $1,001.27	Professional		$213.28	$669.00	$1,001.27
United Facility/Professional Professional Modifier Low / Median / High Price $400.37 / $419.22 / $965.45	Professional		$400.37	$419.22	$965.45