Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.11 / $5,084.91 / $13,413.92	Facility		$510.11	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $170.40 / $932.60	Professional		$80.31	$170.40	$932.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $186.97 / $551.53	Professional		$107.42	$186.97	$551.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $98.04 / $425.20 / $1,305.64	Facility		$98.04	$425.20	$1,305.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.69 / $543.41 / $1,176.61	Professional		$215.69	$543.41	$1,176.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.75 / $515.13 / $1,024.80	Professional		$288.75	$515.13	$1,024.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $98.04 / $425.20 / $1,305.64	Facility		$98.04	$425.20	$1,305.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $171.83 / $425.04 / $949.35	Professional		$171.83	$425.04	$949.35
United Facility/Professional Professional Modifier Low / Median / High Price $218.01 / $445.99 / $1,272.00	Professional		$218.01	$445.99	$1,272.00