Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.27 / $6,541.00 / $13,413.92	Facility		$459.27	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $202.77 / $839.62	Professional		$98.39	$202.77	$839.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.80 / $280.80 / $489.61	Professional		$280.80	$280.80	$489.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $644.87 / $1,175.47	Facility		$107.63	$644.87	$1,175.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $255.08 / $573.29 / $1,060.68	Professional		$255.08	$573.29	$1,060.68
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.15 / $681.75 / $1,197.51	Professional		$363.15	$681.75	$1,197.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.63 / $644.87 / $1,175.47	Facility		$107.63	$644.87	$1,175.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $183.68 / $577.20 / $1,157.70	Professional		$183.68	$577.20	$1,157.70
United Facility/Professional Professional Modifier Low / Median / High Price $391.68 / $590.89 / $1,042.82	Professional		$391.68	$590.89	$1,042.82