Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $294.27 / $5,084.91 / $13,413.92	Facility		$294.27	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $175.50 / $1,133.25	Professional		$84.40	$175.50	$1,133.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.12 / $312.94 / $638.42	Professional		$177.12	$312.94	$638.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $496.51 / $710.01 / $1,586.55	Facility		$496.51	$710.01	$1,586.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.98 / $309.57 / $715.17	Professional		$257.98	$309.57	$715.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.99 / $462.55 / $1,030.33	Professional		$255.99	$462.55	$1,030.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $496.51 / $710.01 / $1,586.55	Facility		$496.51	$710.01	$1,586.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $199.68 / $442.50 / $909.60	Professional		$199.68	$442.50	$909.60
United Facility/Professional Professional Modifier Low / Median / High Price $214.89 / $510.74 / $770.50	Professional		$214.89	$510.74	$770.50