Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $369.67 / $2,464.00 / $11,709.00	Facility		$369.67	$2,464.00	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.26 / $159.47 / $792.95	Professional		$100.26	$159.47	$792.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.52 / $284.89 / $534.61	Professional		$204.52	$284.89	$534.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $570.24 / $798.34 / $1,110.13	Facility		$570.24	$798.34	$1,110.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $291.13 / $349.35 / $493.92	Professional		$291.13	$349.35	$493.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.90 / $510.00 / $715.50	Professional		$354.90	$510.00	$715.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $570.24 / $798.34 / $1,110.13	Facility		$570.24	$798.34	$1,110.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $224.64 / $442.00 / $809.20	Professional		$224.64	$442.00	$809.20
United Facility/Professional Professional Modifier Low / Median / High Price $184.29 / $427.68 / $645.20	Professional		$184.29	$427.68	$645.20