Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.45 / $5,328.00 / $11,709.00	Facility		$574.45	$5,328.00	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $388.74 / $667.37 / $1,103.32	Professional		$388.74	$667.37	$1,103.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $396.78 / $396.78 / $623.73	Professional		$396.78	$396.78	$623.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.81 / $854.45 / $1,346.25	Facility		$150.81	$854.45	$1,346.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $316.18 / $821.10 / $1,319.67	Professional		$316.18	$821.10	$1,319.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.85 / $780.00 / $1,190.00	Professional		$527.85	$780.00	$1,190.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.81 / $854.45 / $1,346.25	Facility		$150.81	$854.45	$1,346.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $277.67 / $688.79 / $1,190.00	Professional		$277.67	$688.79	$1,190.00
United Facility/Professional Professional Modifier Low / Median / High Price $498.98 / $500.16 / $752.76	Professional		$498.98	$500.16	$752.76