Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.39 / $6,541.00 / $13,413.92	Facility		$524.39	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $744.41 / $998.99	Professional		$161.19	$744.41	$998.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $531.73 / $531.73 / $605.36	Professional		$531.73	$531.73	$605.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $191.89 / $854.74 / $1,196.64	Facility		$191.89	$854.74	$1,196.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $441.53 / $980.70 / $1,259.25	Professional		$441.53	$980.70	$1,259.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $629.10 / $791.70 / $1,050.00	Professional		$629.10	$791.70	$1,050.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $191.89 / $854.74 / $1,196.64	Facility		$191.89	$854.74	$1,196.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $270.89 / $693.00 / $1,082.90	Professional		$270.89	$693.00	$1,082.90
United Facility/Professional Professional Modifier Low / Median / High Price $467.41 / $726.42 / $1,107.17	Professional		$467.41	$726.42	$1,107.17