Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $578.21 / $6,541.00 / $13,413.92	Facility		$578.21	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $210.27 / $975.56	Professional		$119.31	$210.27	$975.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $354.65 / $649.84	Professional		$237.52	$354.65	$649.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $641.49 / $917.33 / $1,365.78	Facility		$641.49	$917.33	$1,365.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $320.23 / $384.27 / $604.55	Professional		$320.23	$384.27	$604.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.00 / $574.20 / $877.50	Professional		$316.00	$574.20	$877.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $641.49 / $917.33 / $1,365.78	Facility		$641.49	$917.33	$1,365.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $516.10 / $944.86	Professional		$237.52	$516.10	$944.86
United Facility/Professional Professional Modifier Low / Median / High Price $221.92 / $519.86 / $784.26	Professional		$221.92	$519.86	$784.26