Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.99 / $6,541.00 / $13,413.92	Facility		$577.99	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.51 / $210.31 / $975.18	Professional		$125.51	$210.31	$975.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.23 / $352.52 / $650.44	Professional		$247.23	$352.52	$650.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $672.52 / $961.70 / $1,365.25	Facility		$672.52	$961.70	$1,365.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $333.18 / $399.81 / $599.70	Professional		$333.18	$399.81	$599.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.20 / $597.40 / $876.00	Professional		$331.20	$597.40	$876.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $672.52 / $961.70 / $1,365.25	Facility		$672.52	$961.70	$1,365.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $247.23 / $525.60 / $982.94	Professional		$247.23	$525.60	$982.94
United Facility/Professional Professional Modifier Low / Median / High Price $240.89 / $517.16 / $520.36	Professional		$240.89	$517.16	$520.36