Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.45 / $7,340.00 / $13,413.92	Facility		$553.45	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.86 / $223.75 / $902.10	Professional		$137.86	$223.75	$902.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.04 / $398.04 / $604.83	Professional		$398.04	$398.04	$604.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $147.75 / $797.59 / $1,262.94	Facility		$147.75	$797.59	$1,262.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.93 / $758.10 / $1,278.20	Professional		$291.93	$758.10	$1,278.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $483.30 / $750.20 / $1,119.80	Professional		$483.30	$750.20	$1,119.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $147.75 / $797.59 / $1,262.94	Facility		$147.75	$797.59	$1,262.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $248.43 / $653.75 / $1,163.07	Professional		$248.43	$653.75	$1,163.07
United Facility/Professional Professional Modifier Low / Median / High Price $453.54 / $483.86 / $1,043.14	Professional		$453.54	$483.86	$1,043.14