Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $10,000.00 / $16,982.44	Facility		$501.19	$10,000.00	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $933.25	Professional		$169.82	$218.78	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $251.19 / $1,318.26	Facility		$186.21	$251.19	$1,318.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $467.74 / $1,148.15	Professional		$363.08	$467.74	$1,148.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $660.69 / $933.25	Professional		$616.60	$660.69	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $933.25 / $1,348.96	Facility		$251.19	$933.25	$1,348.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $165.96 / $575.44	Professional		$60.26	$165.96	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $691.83 / $1,071.52	Professional		$245.47	$691.83	$1,071.52