Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.46 / $6,541.00 / $13,413.92	Facility		$655.46	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.18 / $236.75 / $1,198.31	Professional		$161.18	$236.75	$1,198.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.54 / $354.54 / $725.81	Professional		$196.54	$354.54	$725.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $162.80 / $875.00 / $1,677.63	Facility		$162.80	$875.00	$1,677.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $433.05 / $739.05 / $1,476.30	Professional		$433.05	$739.05	$1,476.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $507.74 / $894.90 / $1,355.40	Professional		$507.74	$894.90	$1,355.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $201.42 / $875.00 / $1,677.63	Facility		$201.42	$875.00	$1,677.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $271.06 / $706.50 / $1,322.00	Professional		$271.06	$706.50	$1,322.00
United Facility/Professional Professional Modifier Low / Median / High Price $520.57 / $587.44 / $1,620.36	Professional		$520.57	$587.44	$1,620.36