Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.69 / $6,541.00 / $13,413.92	Facility		$482.69	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $168.65 / $814.39	Professional		$113.51	$168.65	$814.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.15 / $305.52 / $566.67	Professional		$225.15	$305.52	$566.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $623.09 / $872.33 / $1,140.15	Facility		$623.09	$872.33	$1,140.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $301.63 / $361.95 / $488.10	Professional		$301.63	$361.95	$488.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.80 / $540.85 / $729.35	Professional		$304.80	$540.85	$729.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $623.09 / $872.33 / $1,140.15	Facility		$623.09	$872.33	$1,140.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $226.30 / $471.25 / $902.02	Professional		$226.30	$471.25	$902.02
United Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $453.34 / $683.91	Professional		$189.24	$453.34	$683.91