Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $566.52 / $6,541.00 / $13,413.92	Facility		$566.52	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $198.80 / $1,035.74	Professional		$123.65	$198.80	$1,035.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $266.19 / $633.57	Professional		$155.78	$266.19	$633.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $125.97 / $670.66 / $1,450.04	Facility		$125.97	$670.66	$1,450.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $331.53 / $647.55 / $1,293.59	Professional		$331.53	$647.55	$1,293.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $402.94 / $718.75 / $1,231.99	Professional		$402.94	$718.75	$1,231.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $154.19 / $670.66 / $1,450.04	Facility		$154.19	$670.66	$1,450.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $208.86 / $561.00 / $1,108.22	Professional		$208.86	$561.00	$1,108.22
United Facility/Professional Professional Modifier Low / Median / High Price $456.20 / $528.41 / $1,398.09	Professional		$456.20	$528.41	$1,398.09