Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.12 / $6,541.00 / $13,413.92	Facility		$504.12	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $580.75 / $850.57	Professional		$126.83	$580.75	$850.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.90 / $307.73 / $564.80	Professional		$214.90	$307.73	$564.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $580.75 / $830.47 / $1,190.80	Facility		$580.75	$830.47	$1,190.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $289.50 / $347.40 / $524.97	Professional		$289.50	$347.40	$524.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $519.10 / $763.50	Professional		$288.00	$519.10	$763.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $580.75 / $830.47 / $1,190.80	Facility		$580.75	$830.47	$1,190.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.90 / $466.70 / $854.42	Professional		$214.90	$466.70	$854.42
United Facility/Professional Professional Modifier Low / Median / High Price $192.28 / $451.84 / $681.65	Professional		$192.28	$451.84	$681.65