Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.04 / $1,139.13 / $10,900.00	Facility		$635.04	$1,139.13	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.82 / $192.54 / $839.68	Professional		$95.82	$192.54	$839.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.52 / $289.11 / $529.35	Professional		$197.52	$289.11	$529.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $555.57 / $794.47 / $1,119.58	Facility		$555.57	$794.47	$1,119.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.47 / $340.62 / $500.73	Professional		$255.47	$340.62	$500.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $359.80 / $493.50 / $721.37	Professional		$359.80	$493.50	$721.37
Providence Facility/Professional Facility Modifier Low / Median / High Price $555.57 / $794.47 / $1,119.58	Facility		$555.57	$794.47	$1,119.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $220.80 / $430.20 / $783.02	Professional		$220.80	$430.20	$783.02
United Facility/Professional Professional Modifier Low / Median / High Price $183.54 / $423.48 / $638.86	Professional		$183.54	$423.48	$638.86