Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,741.00 / $10,480.00 / $13,413.92	Facility		$3,741.00	$10,480.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $501.53 / $828.51	Professional		$153.78	$501.53	$828.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $434.58 / $588.19 / $726.55	Professional		$434.58	$588.19	$726.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $161.72 / $828.51 / $1,159.91	Facility		$161.72	$828.51	$1,159.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $417.28 / $500.73 / $1,016.52	Professional		$417.28	$500.73	$1,016.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $555.50 / $751.17 / $1,020.00	Professional		$555.50	$751.17	$1,020.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $161.72 / $828.51 / $1,159.91	Facility		$161.72	$828.51	$1,159.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $259.48 / $757.50 / $1,165.34	Professional		$259.48	$757.50	$1,165.34
United Facility/Professional Professional Modifier Low / Median / High Price $439.04 / $709.89 / $1,070.52	Professional		$439.04	$709.89	$1,070.52