Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.27 / $4,116.00 / $13,413.92	Facility		$321.27	$4,116.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $221.08 / $1,044.30	Professional		$111.00	$221.08	$1,044.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.99 / $326.20 / $607.35	Professional		$195.99	$326.20	$607.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $648.22 / $926.95 / $1,462.02	Facility		$648.22	$926.95	$1,462.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.85 / $320.22 / $536.64	Professional		$266.85	$320.22	$536.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $264.85 / $478.50 / $801.85	Professional		$264.85	$478.50	$801.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $648.22 / $926.95 / $1,462.02	Facility		$648.22	$926.95	$1,462.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $202.74 / $428.00 / $832.50	Professional		$202.74	$428.00	$832.50
United Facility/Professional Professional Modifier Low / Median / High Price $210.90 / $485.88 / $733.00	Professional		$210.90	$485.88	$733.00