Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.18 / $184.67 / $874.70	Professional		$159.18	$184.67	$874.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.89 / $612.87 / $762.35	Professional		$450.89	$612.87	$762.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $167.12 / $874.70 / $1,224.58	Facility		$167.12	$874.70	$1,224.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $431.03 / $517.23 / $1,050.01	Professional		$431.03	$517.23	$1,050.01
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $579.70 / $772.85 / $1,070.00	Professional		$579.70	$772.85	$1,070.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $167.12 / $874.70 / $1,224.58	Facility		$167.12	$874.70	$1,224.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $275.16 / $790.50 / $1,217.91	Professional		$275.16	$790.50	$1,217.91
United Facility/Professional Professional Modifier Low / Median / High Price $490.30 / $739.67 / $1,115.43	Professional		$490.30	$739.67	$1,115.43