Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $495.13 / $6,541.00 / $13,413.92	Facility		$495.13	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.14 / $185.73 / $905.18	Professional		$110.14	$185.73	$905.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.69 / $243.61 / $545.57	Professional		$131.69	$243.61	$545.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $583.41 / $1,267.25	Facility		$107.42	$583.41	$1,267.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $287.48 / $555.07 / $1,108.80	Professional		$287.48	$555.07	$1,108.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $355.30 / $637.50 / $1,020.00	Professional		$355.30	$637.50	$1,020.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.71 / $583.41 / $1,267.25	Facility		$133.71	$583.41	$1,267.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $189.86 / $481.50 / $977.39	Professional		$189.86	$481.50	$977.39
United Facility/Professional Professional Modifier Low / Median / High Price $228.16 / $459.68 / $1,239.82	Professional		$228.16	$459.68	$1,239.82