Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.82 / $6,541.00 / $13,413.92	Facility		$491.82	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.91 / $194.00 / $899.14	Professional		$74.91	$194.00	$899.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.12 / $210.66 / $501.88	Professional		$92.12	$210.66	$501.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $89.35 / $385.55 / $1,258.80	Facility		$89.35	$385.55	$1,258.80
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $196.57 / $462.00 / $1,119.30	Professional		$196.57	$462.00	$1,119.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.75 / $478.41 / $976.74	Professional		$263.75	$478.41	$976.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $89.35 / $385.55 / $1,258.80	Facility		$89.35	$385.55	$1,258.80
Providence Facility/Professional Professional Modifier Low / Median / High Price $158.05 / $396.78 / $917.40	Professional		$158.05	$396.78	$917.40
United Facility/Professional Professional Modifier Low / Median / High Price $207.14 / $399.06 / $1,100.74	Professional		$207.14	$399.06	$1,100.74