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 $149.97 / $853.22 / $926.63	Professional		$149.97	$853.22	$926.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $590.39 / $590.39 / $590.39	Professional		$590.39	$590.39	$590.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $221.02 / $853.22 / $1,220.09	Facility		$221.02	$853.22	$1,220.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $443.15 / $1,150.80 / $1,457.43	Professional		$443.15	$1,150.80	$1,457.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $685.00 / $794.60 / $1,040.59	Professional		$685.00	$794.60	$1,040.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $221.02 / $853.22 / $1,220.09	Facility		$221.02	$853.22	$1,220.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $230.85 / $765.00 / $1,083.78	Professional		$230.85	$765.00	$1,083.78
United Facility/Professional Professional Modifier Low / Median / High Price $446.56 / $708.48 / $1,180.80	Professional		$446.56	$708.48	$1,180.80