Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $603.09 / $6,541.00 / $13,413.92	Facility		$603.09	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.28 / $860.70 / $996.29	Professional		$162.28	$860.70	$996.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $445.63 / $595.44 / $897.40	Professional		$445.63	$595.44	$897.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.54 / $860.70 / $1,394.81	Facility		$180.54	$860.70	$1,394.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $435.05 / $618.15 / $1,242.15	Professional		$435.05	$618.15	$1,242.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.00 / $865.16 / $1,168.00	Professional		$625.00	$865.16	$1,168.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.50 / $860.70 / $1,394.81	Facility		$192.50	$860.70	$1,394.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $361.63 / $894.00 / $1,175.72	Professional		$361.63	$894.00	$1,175.72
United Facility/Professional Professional Modifier Low / Median / High Price $542.29 / $831.84 / $1,254.44	Professional		$542.29	$831.84	$1,254.44