Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.96 / $4,806.00 / $10,900.00	Facility		$877.96	$4,806.00	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.43 / $189.18 / $906.53	Professional		$123.43	$189.18	$906.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.25 / $325.64 / $598.83	Professional		$250.25	$325.64	$598.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $702.37 / $983.32 / $1,269.14	Facility		$702.37	$983.32	$1,269.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $361.48 / $433.77 / $563.79	Professional		$361.48	$433.77	$563.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.42 / $624.91 / $812.24	Professional		$357.42	$624.91	$812.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $702.37 / $983.32 / $1,269.14	Facility		$702.37	$983.32	$1,269.14
Providence Facility/Professional Professional Modifier Low / Median / High Price $256.02 / $540.79 / $990.08	Professional		$256.02	$540.79	$990.08
United Facility/Professional Professional Modifier Low / Median / High Price $206.34 / $479.06 / $722.71	Professional		$206.34	$479.06	$722.71