Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.13 / $5,084.91 / $13,413.92	Facility		$441.13	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.67 / $166.37 / $806.47	Professional		$112.67	$166.37	$806.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $241.25 / $492.55	Professional		$134.10	$241.25	$492.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $113.82 / $608.46 / $1,129.06	Facility		$113.82	$608.46	$1,129.06
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $303.97 / $501.30 / $997.50	Professional		$303.97	$501.30	$997.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $352.98 / $606.10 / $966.60	Professional		$352.98	$606.10	$966.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.38 / $608.46 / $1,129.06	Facility		$141.38	$608.46	$1,129.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $185.45 / $483.00 / $900.00	Professional		$185.45	$483.00	$900.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,962.56 / $2,962.56 / $2,962.56	Facility		$2,962.56	$2,962.56	$2,962.56
United Facility/Professional Professional Modifier Low / Median / High Price $201.85 / $410.69 / $1,091.64	Professional		$201.85	$410.69	$1,091.64