Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $539.38 / $10,900.00 / $14,552.94	Facility		$539.38	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.58 / $891.03 / $891.03	Professional		$174.58	$891.03	$891.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.16 / $631.47 / $792.22	Professional		$464.16	$631.47	$792.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.28 / $891.03 / $1,247.44	Facility		$179.28	$891.03	$1,247.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $463.38 / $556.04 / $1,128.81	Professional		$463.38	$556.04	$1,128.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $608.29 / $830.85 / $1,122.00	Professional		$608.29	$830.85	$1,122.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.28 / $891.03 / $1,247.44	Facility		$179.28	$891.03	$1,247.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $280.31 / $829.50 / $1,272.75	Professional		$280.31	$829.50	$1,272.75
United Facility/Professional Professional Modifier Low / Median / High Price $505.18 / $762.12 / $1,149.28	Professional		$505.18	$762.12	$1,149.28