Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.30 / $10,175.36 / $13,413.92	Facility		$485.30	$10,175.36	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.51 / $310.14 / $818.82	Professional		$96.51	$310.14	$818.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.10 / $316.83 / $575.07	Professional		$189.10	$316.83	$575.07
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $523.29 / $748.30 / $1,146.34	Facility		$523.29	$748.30	$1,146.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.98 / $309.57 / $502.65	Professional		$257.98	$309.57	$502.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.60 / $462.55 / $751.10	Professional		$257.60	$462.55	$751.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $523.29 / $748.30 / $1,146.34	Facility		$523.29	$748.30	$1,146.34
Providence Facility/Professional Professional Modifier Low / Median / High Price $191.58 / $469.80 / $783.00	Professional		$191.58	$469.80	$783.00
United Facility/Professional Professional Modifier Low / Median / High Price $196.83 / $460.06 / $694.05	Professional		$196.83	$460.06	$694.05