Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.29 / $5,433.63 / $14,552.94	Facility		$398.29	$5,433.63	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $288.00 / $875.28	Professional		$130.46	$288.00	$875.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.93 / $467.93 / $467.93	Professional		$467.93	$467.93	$467.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $168.26 / $724.65 / $1,036.25	Facility		$168.26	$724.65	$1,036.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $332.35 / $932.91 / $1,117.20	Professional		$332.35	$932.91	$1,117.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $513.75 / $595.95 / $877.80	Professional		$513.75	$595.95	$877.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $168.26 / $724.65 / $1,036.25	Facility		$168.26	$724.65	$1,036.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $604.50 / $892.00	Professional		$190.00	$604.50	$892.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.83 / $374.34 / $1,117.20	Professional		$348.83	$374.34	$1,117.20