Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.63 / $6,541.00 / $13,413.92	Facility		$551.63	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $210.63 / $1,008.47	Professional		$82.28	$210.63	$1,008.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.07 / $222.70 / $572.13	Professional		$101.07	$222.70	$572.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $101.76 / $439.20 / $1,411.86	Facility		$101.76	$439.20	$1,411.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $537.60 / $1,263.52	Professional		$223.87	$537.60	$1,263.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.51 / $553.20 / $1,100.75	Professional		$302.51	$553.20	$1,100.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $101.76 / $439.20 / $1,411.86	Facility		$101.76	$439.20	$1,411.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.42 / $451.31 / $1,019.70	Professional		$179.42	$451.31	$1,019.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,484.78 / $5,484.78 / $5,484.78	Facility		$5,484.78	$5,484.78	$5,484.78
United Facility/Professional Professional Modifier Low / Median / High Price $397.48 / $454.99 / $1,238.33	Professional		$397.48	$454.99	$1,238.33