Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.00 / $10,900.00 / $14,552.94	Facility		$381.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $668.57 / $731.77 / $731.77	Professional		$668.57	$731.77	$731.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.37 / $449.37 / $449.37	Professional		$449.37	$449.37	$449.37
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.13 / $731.77 / $1,046.43	Facility		$160.13	$731.77	$1,046.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $313.75 / $814.80 / $1,050.08	Professional		$313.75	$814.80	$1,050.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $485.00 / $562.60 / $847.40	Professional		$485.00	$562.60	$847.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.13 / $731.77 / $1,046.43	Facility		$160.13	$731.77	$1,046.43
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.35 / $573.00 / $870.59	Professional		$126.35	$573.00	$870.59
United Facility/Professional Professional Modifier Low / Median / High Price $359.50 / $539.25 / $827.22	Professional		$359.50	$539.25	$827.22