Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.13 / $6,541.00 / $13,413.92	Facility		$480.13	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $179.87 / $877.76	Professional		$136.13	$179.87	$877.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.46 / $269.94 / $529.55	Professional		$148.46	$269.94	$529.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $155.04 / $706.05 / $1,228.85	Facility		$155.04	$706.05	$1,228.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $350.45 / $570.50 / $1,079.40	Professional		$350.45	$570.50	$1,079.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $393.80 / $694.75 / $1,109.70	Professional		$393.80	$694.75	$1,109.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.00 / $706.05 / $1,228.85	Facility		$163.00	$706.05	$1,228.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $205.57 / $561.10 / $1,016.00	Professional		$205.57	$561.10	$1,016.00
United Facility/Professional Professional Modifier Low / Median / High Price $442.78 / $442.78 / $1,062.67	Professional		$442.78	$442.78	$1,062.67