Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $386.01 / $7,340.00 / $13,413.92	Facility		$386.01	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.73 / $643.65 / $871.95	Professional		$193.73	$643.65	$871.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $121.26 / $480.36	Professional		$121.26	$121.26	$480.36
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $271.22 / $1,038.00	Facility		$42.59	$271.22	$1,038.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $277.94 / $877.64	Professional		$96.06	$277.94	$877.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.30 / $229.50 / $879.27	Professional		$132.30	$229.50	$879.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $42.59 / $271.22 / $1,038.00	Facility		$42.59	$271.22	$1,038.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $229.50 / $1,064.25	Professional		$122.50	$229.50	$1,064.25
United Facility/Professional Professional Modifier Low / Median / High Price $244.00 / $384.28 / $903.90	Professional		$244.00	$384.28	$903.90