Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.36 / $4,287.50 / $10,900.00	Facility		$499.36	$4,287.50	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.09 / $229.38 / $846.23	Professional		$114.09	$229.38	$846.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.69 / $305.47 / $563.87	Professional		$235.69	$305.47	$563.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $651.23 / $911.72 / $1,179.56	Facility		$651.23	$911.72	$1,179.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $335.60 / $402.72 / $523.04	Professional		$335.60	$402.72	$523.04
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $374.50 / $585.00 / $759.45	Professional		$374.50	$585.00	$759.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $651.23 / $911.72 / $1,179.56	Facility		$651.23	$911.72	$1,179.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $246.14 / $509.60 / $932.40	Professional		$246.14	$509.60	$932.40
United Facility/Professional Professional Modifier Low / Median / High Price $194.18 / $451.10 / $680.53	Professional		$194.18	$451.10	$680.53