Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.57 / $6,541.00 / $13,413.92	Facility		$829.57	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.36 / $324.19 / $1,516.63	Professional		$192.36	$324.19	$1,516.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.42 / $375.46 / $921.66	Professional		$194.42	$375.46	$921.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.34 / $981.39 / $2,123.28	Facility		$194.34	$981.39	$2,123.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $472.23 / $933.47 / $1,883.75	Professional		$472.23	$933.47	$1,883.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $572.00 / $1,071.56 / $1,659.81	Professional		$572.00	$1,071.56	$1,659.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $205.09 / $981.39 / $2,123.28	Facility		$205.09	$981.39	$2,123.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $314.80 / $814.50 / $1,620.00	Professional		$314.80	$814.50	$1,620.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.56 / $714.99 / $1,971.88	Professional		$375.56	$714.99	$1,971.88