Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.60 / $6,782.00 / $13,413.92	Facility		$467.60	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $400.81 / $898.13	Professional		$78.33	$400.81	$898.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.31 / $219.85 / $579.94	Professional		$77.31	$219.85	$579.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $192.72 / $561.13 / $1,257.38	Facility		$192.72	$561.13	$1,257.38
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $168.20 / $410.80 / $722.70	Professional		$168.20	$410.80	$722.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $501.70 / $914.60	Professional		$260.00	$501.70	$914.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $192.72 / $561.13 / $1,257.38	Facility		$192.72	$561.13	$1,257.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $339.22 / $879.00	Professional		$142.00	$339.22	$879.00
Providence Facility/Professional Professional Modifier 80 Low / Median / High Price $50.29 / $70.84 / $80.95	Professional	80	$50.29	$70.84	$80.95
Providence Facility/Professional Professional Modifier AS Low / Median / High Price $42.75 / $60.22 / $68.81	Professional	AS	$42.75	$60.22	$68.81
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $328.44 / $463.96 / $695.94	Professional		$328.44	$463.96	$695.94