Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.38 / $10,900.00 / $14,552.94	Facility		$573.38	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.72 / $947.23 / $947.23	Professional		$188.72	$947.23	$947.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.77 / $668.97 / $860.13	Professional		$493.77	$668.97	$860.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $194.76 / $947.23 / $1,326.12	Facility		$194.76	$947.23	$1,326.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $504.60 / $605.52 / $1,229.28	Professional		$504.60	$605.52	$1,229.28
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $661.10 / $908.46 / $1,228.00	Professional		$661.10	$908.46	$1,228.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $194.76 / $947.23 / $1,326.12	Facility		$194.76	$947.23	$1,326.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $296.48 / $908.46 / $1,402.99	Professional		$296.48	$908.46	$1,402.99
United Facility/Professional Professional Modifier Low / Median / High Price $535.17 / $807.38 / $1,217.53	Professional		$535.17	$807.38	$1,217.53