Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.90 / $7,340.00 / $13,413.92	Facility		$516.90	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $183.92 / $944.99	Professional		$107.00	$183.92	$944.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.24 / $245.83 / $565.20	Professional		$132.24	$245.83	$565.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.97 / $579.91 / $1,322.99	Facility		$125.97	$579.91	$1,322.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $288.57 / $584.29 / $1,178.09	Professional		$288.57	$584.29	$1,178.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $358.60 / $638.00 / $1,026.63	Professional		$358.60	$638.00	$1,026.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $134.21 / $579.91 / $1,322.99	Facility		$134.21	$579.91	$1,322.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.72 / $503.75 / $983.50	Professional		$196.72	$503.75	$983.50
United Facility/Professional Facility Modifier Low / Median / High Price $6,486.14 / $6,486.14 / $6,486.14	Facility		$6,486.14	$6,486.14	$6,486.14
United Facility/Professional Professional Modifier Low / Median / High Price $410.12 / $486.30 / $1,326.36	Professional		$410.12	$486.30	$1,326.36