Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $648.04 / $7,340.00 / $13,413.92	Facility		$648.04	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.56 / $805.88 / $1,244.69	Professional		$143.56	$805.88	$1,244.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.56 / $163.56 / $726.14	Professional		$163.56	$163.56	$726.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $180.43 / $280.75 / $1,779.91	Facility		$180.43	$280.75	$1,779.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $359.05 / $571.91 / $1,020.91	Professional		$359.05	$571.91	$1,020.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $540.36 / $812.52 / $1,190.00	Professional		$540.36	$812.52	$1,190.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $220.06 / $354.85 / $1,779.91	Facility		$220.06	$354.85	$1,779.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.45 / $731.50 / $1,193.25	Professional		$200.45	$731.50	$1,193.25
United Facility/Professional Professional Modifier Low / Median / High Price $279.10 / $580.91 / $1,759.12	Professional		$279.10	$580.91	$1,759.12