Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.37 / $6,541.00 / $13,413.92	Facility		$504.37	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $626.33 / $833.21	Professional		$122.88	$626.33	$833.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.94 / $442.02 / $777.55	Professional		$325.94	$442.02	$777.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $688.96 / $1,166.49	Facility		$163.94	$688.96	$1,166.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $531.78 / $1,068.59	Professional		$322.64	$531.78	$1,068.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $495.00 / $739.80 / $1,014.00	Professional		$495.00	$739.80	$1,014.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $163.94 / $688.96 / $1,166.49	Facility		$163.94	$688.96	$1,166.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $273.63 / $693.75 / $1,014.00	Professional		$273.63	$693.75	$1,014.00
United Facility/Professional Professional Modifier Low / Median / High Price $450.46 / $679.57 / $1,024.80	Professional		$450.46	$679.57	$1,024.80