Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.35 / $10,900.00 / $14,552.94	Facility		$467.35	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $809.00 / $897.63 / $897.63	Professional		$809.00	$897.63	$897.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.62 / $554.62 / $554.62	Professional		$554.62	$554.62	$554.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $196.64 / $897.63 / $1,283.60	Facility		$196.64	$897.63	$1,283.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $380.08 / $987.00 / $1,289.28	Professional		$380.08	$987.00	$1,289.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $587.50 / $681.50 / $1,034.72	Professional		$587.50	$681.50	$1,034.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $196.64 / $897.63 / $1,283.60	Facility		$196.64	$897.63	$1,283.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.28 / $702.00 / $1,077.75	Professional		$154.28	$702.00	$1,077.75
United Facility/Professional Professional Modifier Low / Median / High Price $443.70 / $665.55 / $1,027.23	Professional		$443.70	$665.55	$1,027.23