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 $179.84 / $938.34 / $938.34	Professional		$179.84	$938.34	$938.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.04 / $665.32 / $823.19	Professional		$491.04	$665.32	$823.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $183.03 / $938.34 / $1,313.68	Facility		$183.03	$938.34	$1,313.68
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $472.25 / $566.70 / $1,150.48	Professional		$472.25	$566.70	$1,150.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $628.10 / $851.13 / $1,154.00	Professional		$628.10	$851.13	$1,154.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $183.03 / $938.34 / $1,313.68	Facility		$183.03	$938.34	$1,313.68
Providence Facility/Professional Professional Modifier Low / Median / High Price $293.60 / $856.50 / $1,318.45	Professional		$293.60	$856.50	$1,318.45
United Facility/Professional Professional Modifier Low / Median / High Price $532.26 / $802.97 / $1,210.89	Professional		$532.26	$802.97	$1,210.89