Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.97 / $6,541.00 / $13,413.92	Facility		$463.97	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.06 / $515.84 / $782.82	Professional		$113.06	$515.84	$782.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.60 / $282.80 / $516.76	Professional		$190.60	$282.80	$516.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $515.84 / $737.65 / $1,095.95	Facility		$515.84	$737.65	$1,095.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.98 / $309.57 / $486.18	Professional		$257.98	$309.57	$486.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.20 / $462.55 / $700.50	Professional		$255.20	$462.55	$700.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $515.84 / $737.65 / $1,095.95	Facility		$515.84	$737.65	$1,095.95
Providence Facility/Professional Professional Modifier Low / Median / High Price $190.60 / $413.40 / $756.84	Professional		$190.60	$413.40	$756.84
United Facility/Professional Professional Modifier Low / Median / High Price $176.70 / $413.42 / $623.69	Professional		$176.70	$413.42	$623.69