Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.20 / $5,328.00 / $10,900.00	Facility		$495.20	$5,328.00	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $209.48 / $593.16	Professional		$69.45	$209.48	$593.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.57 / $213.46 / $394.10	Professional		$140.57	$213.46	$394.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $396.16 / $566.51 / $830.44	Facility		$396.16	$566.51	$830.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $202.98 / $243.57 / $368.76	Professional		$202.98	$243.57	$368.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $266.70 / $350.90 / $531.24	Professional		$266.70	$350.90	$531.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $396.16 / $566.51 / $830.44	Facility		$396.16	$566.51	$830.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.80 / $317.70 / $554.54	Professional		$156.80	$317.70	$554.54
United Facility/Professional Professional Modifier Low / Median / High Price $136.80 / $315.27 / $475.63	Professional		$136.80	$315.27	$475.63