Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.96 / $6,541.00 / $13,413.92	Facility		$408.96	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.44 / $161.34 / $747.68	Professional		$106.44	$161.34	$747.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $230.41 / $452.71	Professional		$128.82	$230.41	$452.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.51 / $574.41 / $1,046.75	Facility		$107.51	$574.41	$1,046.75
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $286.04 / $463.95 / $917.70	Professional		$286.04	$463.95	$917.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.90 / $589.95 / $904.50	Professional		$333.90	$589.95	$904.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.04 / $574.41 / $1,046.75	Facility		$133.04	$574.41	$1,046.75
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.23 / $462.00 / $858.00	Professional		$173.23	$462.00	$858.00
United Facility/Professional Professional Modifier Low / Median / High Price $323.61 / $379.76 / $1,118.28	Professional		$323.61	$379.76	$1,118.28