Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $460.61 / $6,541.00 / $13,413.92	Facility		$460.61	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $130.91 / $742.63	Professional		$88.56	$130.91	$742.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.84 / $347.84 / $444.67	Professional		$347.84	$347.84	$444.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $136.33 / $735.99 / $1,039.68	Facility		$136.33	$735.99	$1,039.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $282.23 / $732.90 / $1,065.74	Professional		$282.23	$732.90	$1,065.74
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $623.75 / $779.22	Professional		$440.00	$623.75	$779.22
Providence Facility/Professional Facility Modifier Low / Median / High Price $136.33 / $735.99 / $1,039.68	Facility		$136.33	$735.99	$1,039.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $227.07 / $558.00 / $771.12	Professional		$227.07	$558.00	$771.12
United Facility/Professional Facility Modifier Low / Median / High Price $6,359.06 / $6,359.06 / $6,359.06	Facility		$6,359.06	$6,359.06	$6,359.06
United Facility/Professional Professional Modifier Low / Median / High Price $291.42 / $533.61 / $670.27	Professional		$291.42	$533.61	$670.27