Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $410.35 / $6,541.00 / $13,413.92	Facility		$410.35	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.03 / $159.06 / $750.21	Professional		$107.03	$159.06	$750.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.12 / $246.57 / $460.15	Professional		$131.12	$246.57	$460.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $552.20 / $1,050.29	Facility		$104.58	$552.20	$1,050.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $278.23 / $467.81 / $934.50	Professional		$278.23	$467.81	$934.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.50 / $589.95 / $948.00	Professional		$355.50	$589.95	$948.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $129.41 / $552.20 / $1,050.29	Facility		$129.41	$552.20	$1,050.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $174.43 / $469.50 / $926.25	Professional		$174.43	$469.50	$926.25
United Facility/Professional Professional Modifier Low / Median / High Price $151.13 / $398.64 / $1,099.58	Professional		$151.13	$398.64	$1,099.58