Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $496.81 / $6,541.00 / $13,413.92	Facility		$496.81	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.26 / $202.74 / $838.24	Professional		$101.26	$202.74	$838.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.17 / $303.58 / $555.35	Professional		$200.17	$303.58	$555.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $541.29 / $774.04 / $1,173.54	Facility		$541.29	$774.04	$1,173.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $270.10 / $324.12 / $519.15	Professional		$270.10	$324.12	$519.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $484.30 / $751.50	Professional		$268.00	$484.30	$751.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $541.29 / $774.04 / $1,173.54	Facility		$541.29	$774.04	$1,173.54
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.17 / $434.20 / $794.92	Professional		$200.17	$434.20	$794.92
United Facility/Professional Professional Modifier Low / Median / High Price $190.38 / $444.28 / $670.24	Professional		$190.38	$444.28	$670.24