Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.53 / $6,541.00 / $13,413.92	Facility		$711.53	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.71 / $633.21 / $1,175.42	Professional		$467.71	$633.21	$1,175.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.12 / $394.64 / $914.50	Professional		$181.12	$394.64	$914.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $286.62 / $837.31	Facility		$148.86	$286.62	$837.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.69 / $630.59 / $1,620.25	Professional		$301.69	$630.59	$1,620.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $435.00 / $692.00 / $1,363.67	Professional		$435.00	$692.00	$1,363.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $148.86 / $286.62 / $1,610.33	Facility		$148.86	$286.62	$1,610.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $274.51 / $604.50 / $1,261.92	Professional		$274.51	$604.50	$1,261.92
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Facility		$424.00	$424.00	$424.00
United Facility/Professional Professional Modifier Low / Median / High Price $410.98 / $668.39 / $1,284.88	Professional		$410.98	$668.39	$1,284.88