Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.30 / $7,340.00 / $13,413.92	Facility		$575.30	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $680.65 / $866.18 / $927.59	Professional		$680.65	$866.18	$927.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.95 / $462.95 / $566.85	Professional		$462.95	$462.95	$566.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $176.11 / $927.59 / $1,298.63	Facility		$176.11	$927.59	$1,298.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $358.25 / $930.30 / $1,330.95	Professional		$358.25	$930.30	$1,330.95
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $576.25 / $779.22 / $977.39	Professional		$576.25	$779.22	$977.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $176.11 / $927.59 / $1,298.63	Facility		$176.11	$927.59	$1,298.63
Providence Facility/Professional Professional Modifier Low / Median / High Price $292.24 / $729.30 / $977.39	Professional		$292.24	$729.30	$977.39
United Facility/Professional Professional Modifier Low / Median / High Price $379.80 / $680.22 / $873.54	Professional		$379.80	$680.22	$873.54