Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $832.61 / $6,825.52 / $13,413.92	Facility		$832.61	$6,825.52	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.59 / $299.89 / $1,316.77	Professional		$136.59	$299.89	$1,316.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.87 / $454.87 / $914.84	Professional		$454.87	$454.87	$914.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $166.70 / $863.65 / $1,882.98	Facility		$166.70	$863.65	$1,882.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $382.38 / $886.37 / $1,924.89	Professional		$382.38	$886.37	$1,924.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $533.25 / $856.32 / $1,610.39	Professional		$533.25	$856.32	$1,610.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.70 / $863.65 / $1,843.48	Facility		$166.70	$863.65	$1,843.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $290.70 / $733.04 / $1,610.39	Professional		$290.70	$733.04	$1,610.39
United Facility/Professional Professional Modifier Low / Median / High Price $674.54 / $1,097.79 / $1,551.44	Professional		$674.54	$1,097.79	$1,551.44