Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $559.90 / $7,340.00 / $13,413.92	Facility		$559.90	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $610.60 / $944.67	Professional		$123.60	$610.60	$944.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.94 / $348.65 / $630.91	Professional		$215.94	$348.65	$630.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $610.60 / $873.16 / $1,322.54	Facility		$610.60	$873.16	$1,322.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $309.73 / $371.67 / $590.97	Professional		$309.73	$371.67	$590.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $306.70 / $541.50 / $861.00	Professional		$306.70	$541.50	$861.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $610.60 / $873.16 / $1,322.54	Facility		$610.60	$873.16	$1,322.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $229.40 / $476.25 / $865.50	Professional		$229.40	$476.25	$865.50
United Facility/Professional Professional Modifier Low / Median / High Price $219.26 / $504.74 / $761.45	Professional		$219.26	$504.74	$761.45