Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.91 / $6,541.00 / $13,413.92	Facility		$419.91	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.97 / $241.43 / $767.66	Professional		$94.97	$241.43	$767.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.78 / $207.96 / $468.43	Professional		$112.78	$207.96	$468.43
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.62 / $501.59 / $1,074.72	Facility		$116.62	$501.59	$1,074.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $250.73 / $470.66 / $936.60	Professional		$250.73	$470.66	$936.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $294.68 / $540.00 / $816.18	Professional		$294.68	$540.00	$816.18
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.62 / $501.59 / $1,074.72	Facility		$116.62	$501.59	$1,074.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $179.56 / $418.50 / $780.00	Professional		$179.56	$418.50	$780.00
United Facility/Professional Professional Modifier Low / Median / High Price $206.93 / $384.91 / $1,017.00	Professional		$206.93	$384.91	$1,017.00