Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.36 / $7,340.00 / $13,413.92	Facility		$550.36	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.81 / $621.22 / $909.18	Professional		$115.81	$621.22	$909.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.13 / $474.82 / $837.88	Professional		$322.13	$474.82	$837.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.44 / $621.22 / $1,272.84	Facility		$131.44	$621.22	$1,272.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $307.30 / $562.83 / $1,131.00	Professional		$307.30	$562.83	$1,131.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $704.00 / $1,061.40	Professional		$450.00	$704.00	$1,061.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $157.80 / $683.34 / $1,272.84	Facility		$157.80	$683.34	$1,272.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.75 / $668.80 / $1,028.00	Professional		$270.75	$668.80	$1,028.00
United Facility/Professional Professional Modifier Low / Median / High Price $495.80 / $747.97 / $1,127.95	Professional		$495.80	$747.97	$1,127.95