Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,872.00 / $8,303.41 / $13,413.92	Facility		$1,872.00	$8,303.41	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.94 / $161.16 / $839.02	Professional		$150.94	$161.16	$839.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.76 / $242.00 / $532.07	Professional		$145.76	$242.00	$532.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $152.28 / $839.02 / $1,174.63	Facility		$152.28	$839.02	$1,174.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $367.13 / $575.52 / $1,060.29	Professional		$367.13	$575.52	$1,060.29
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $404.10 / $710.40 / $1,120.25	Professional		$404.10	$710.40	$1,120.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $152.28 / $839.02 / $1,174.63	Facility		$152.28	$839.02	$1,174.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.87 / $546.00 / $996.81	Professional		$179.87	$546.00	$996.81
United Facility/Professional Professional Modifier Low / Median / High Price $224.98 / $425.66 / $1,174.11	Professional		$224.98	$425.66	$1,174.11