Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.00 / $10,900.00 / $14,552.94	Facility		$458.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $879.69 / $879.69 / $879.69	Professional		$879.69	$879.69	$879.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $553.53 / $553.53 / $553.53	Professional		$553.53	$553.53	$553.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $195.14 / $879.69 / $1,257.96	Facility		$195.14	$879.69	$1,257.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $993.30 / $1,280.63	Professional		$382.50	$993.30	$1,280.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $591.25 / $685.85 / $1,052.56	Professional		$591.25	$685.85	$1,052.56
Providence Facility/Professional Facility Modifier Low / Median / High Price $195.14 / $879.69 / $1,257.96	Facility		$195.14	$879.69	$1,257.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $708.00 / $1,123.35	Professional		$156.94	$708.00	$1,123.35
United Facility/Professional Professional Modifier Low / Median / High Price $445.40 / $668.10 / $1,026.72	Professional		$445.40	$668.10	$1,026.72