Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $464.67 / $6,541.00 / $13,413.92	Facility		$464.67	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.51 / $191.76 / $783.99	Professional		$115.51	$191.76	$783.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.96 / $249.46 / $494.17	Professional		$170.96	$249.46	$494.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $481.32 / $688.29 / $1,097.58	Facility		$481.32	$688.29	$1,097.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $240.98 / $289.17 / $485.19	Professional		$240.98	$289.17	$485.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.48 / $427.50 / $699.00	Professional		$237.48	$427.50	$699.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $481.32 / $688.29 / $1,097.58	Facility		$481.32	$688.29	$1,097.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.08 / $370.50 / $678.30	Professional		$176.08	$370.50	$678.30
United Facility/Professional Professional Modifier Low / Median / High Price $170.24 / $395.34 / $596.41	Professional		$170.24	$395.34	$596.41