Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.57 / $5,084.91 / $13,413.92	Facility		$265.57	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.15 / $143.80 / $913.11	Professional		$59.15	$143.80	$913.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.36 / $292.57 / $522.52	Professional		$162.36	$292.57	$522.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $535.80 / $766.21 / $1,278.34	Facility		$535.80	$766.21	$1,278.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $228.05 / $273.66 / $479.37	Professional		$228.05	$273.66	$479.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $301.39 / $402.50 / $716.30	Professional		$301.39	$402.50	$716.30
Providence Facility/Professional Facility Modifier Low / Median / High Price $535.80 / $766.21 / $1,278.34	Facility		$535.80	$766.21	$1,278.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.78 / $379.20 / $720.00	Professional		$166.78	$379.20	$720.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.00 / $418.02 / $630.63	Professional		$156.00	$418.02	$630.63