Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $682.81 / $752.33 / $1,255.47	Professional		$682.81	$752.33	$1,255.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.15 / $460.15 / $460.15	Professional		$460.15	$460.15	$460.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $164.90 / $752.33 / $1,075.83	Facility		$164.90	$752.33	$1,075.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $837.90 / $1,080.43	Professional		$322.64	$837.90	$1,080.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $498.75 / $578.54 / $871.93	Professional		$498.75	$578.54	$871.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $164.90 / $752.33 / $1,075.83	Facility		$164.90	$752.33	$1,075.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $130.01 / $588.00 / $909.00	Professional		$130.01	$588.00	$909.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.12 / $552.17 / $854.31	Professional		$368.12	$552.17	$854.31