Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.84 / $6,541.00 / $13,413.92	Facility		$496.84	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.37 / $160.19 / $838.29	Professional		$116.37	$160.19	$838.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.62 / $281.24 / $546.21	Professional		$237.62	$281.24	$546.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $679.82 / $951.75 / $1,173.60	Facility		$679.82	$951.75	$1,173.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $343.68 / $412.41 / $514.32	Professional		$343.68	$412.41	$514.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.13 / $595.00 / $768.50	Professional		$342.13	$595.00	$768.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $679.82 / $951.75 / $1,173.60	Facility		$679.82	$951.75	$1,173.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.62 / $505.20 / $907.15	Professional		$237.62	$505.20	$907.15
United Facility/Professional Professional Modifier Low / Median / High Price $197.38 / $436.96 / $436.96	Professional		$197.38	$436.96	$436.96