Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $444.19 / $7,340.00 / $13,413.92	Facility		$444.19	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $169.68 / $812.09	Professional		$110.95	$169.68	$812.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $228.47 / $489.60	Professional		$122.00	$228.47	$489.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.70 / $564.58 / $1,136.93	Facility		$105.70	$564.58	$1,136.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $280.77 / $500.47 / $1,005.90	Professional		$280.77	$500.47	$1,005.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.30 / $594.00 / $956.22	Professional		$333.30	$594.00	$956.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $564.58 / $1,136.93	Facility		$130.59	$564.58	$1,136.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.69 / $465.00 / $874.00	Professional		$180.69	$465.00	$874.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.16 / $391.68 / $1,080.39	Professional		$381.16	$391.68	$1,080.39