Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $515.36 / $6,541.00 / $13,413.92	Facility		$515.36	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $188.65 / $942.17	Professional		$105.07	$188.65	$942.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.04 / $236.02 / $564.54	Professional		$129.04	$236.02	$564.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.67 / $564.72 / $1,319.04	Facility		$105.67	$564.72	$1,319.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $280.33 / $570.50 / $1,173.90	Professional		$280.33	$570.50	$1,173.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.30 / $617.50 / $1,022.97	Professional		$344.30	$617.50	$1,022.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $130.38 / $564.72 / $1,319.04	Facility		$130.38	$564.72	$1,319.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $194.68 / $496.80 / $966.00	Professional		$194.68	$496.80	$966.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.20 / $485.00 / $1,204.57	Professional		$224.20	$485.00	$1,204.57