Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $328.30 / $6,541.00 / $13,413.92	Facility		$328.30	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.85 / $255.33 / $782.14	Professional		$48.85	$255.33	$782.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.03 / $178.03 / $527.04	Professional		$178.03	$178.03	$527.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.99 / $357.46 / $1,095.00	Facility		$62.99	$357.46	$1,095.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $406.75 / $1,060.40	Professional		$140.69	$406.75	$1,060.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $602.50 / $948.00	Professional		$195.75	$602.50	$948.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.99 / $357.46 / $1,095.00	Facility		$62.99	$357.46	$1,095.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.30 / $325.58 / $952.00	Professional		$107.30	$325.58	$952.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.00 / $443.35 / $1,054.05	Professional		$373.00	$443.35	$1,054.05