Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $606.20 / $6,541.00 / $13,413.92	Facility		$606.20	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $792.14 / $920.16 / $1,164.32	Professional		$792.14	$920.16	$1,164.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.50 / $143.50 / $668.27	Professional		$143.50	$143.50	$668.27
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $177.50 / $259.97 / $1,664.98	Facility		$177.50	$259.97	$1,664.98
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $353.38 / $531.66 / $1,003.66	Professional		$353.38	$531.66	$1,003.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.75 / $771.45 / $1,065.59	Professional		$518.75	$771.45	$1,065.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $216.65 / $327.45 / $1,664.98	Facility		$216.65	$327.45	$1,664.98
Providence Facility/Professional Professional Modifier Low / Median / High Price $196.84 / $719.25 / $1,085.70	Professional		$196.84	$719.25	$1,085.70
United Facility/Professional Professional Modifier Low / Median / High Price $248.85 / $508.50 / $801.93	Professional		$248.85	$508.50	$801.93