Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $570.22 / $10,900.00 / $14,552.94	Facility		$570.22	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.48 / $942.02 / $942.02	Professional		$187.48	$942.02	$942.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.81 / $664.66 / $855.75	Professional		$489.81	$664.66	$855.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $193.52 / $942.02 / $1,318.83	Facility		$193.52	$942.02	$1,318.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $501.38 / $601.65 / $1,221.40	Professional		$501.38	$601.65	$1,221.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $656.70 / $904.05 / $1,234.00	Professional		$656.70	$904.05	$1,234.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $193.52 / $942.02 / $1,318.83	Facility		$193.52	$942.02	$1,318.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $294.61 / $904.05 / $1,396.14	Professional		$294.61	$904.05	$1,396.14
United Facility/Professional Professional Modifier Low / Median / High Price $531.74 / $802.19 / $1,209.71	Professional		$531.74	$802.19	$1,209.71