Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.59 / $5,084.91 / $11,709.00	Facility		$490.59	$5,084.91	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $171.52 / $896.89	Professional		$81.18	$171.52	$896.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.21 / $194.37 / $538.17	Professional		$105.21	$194.37	$538.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.08 / $463.74 / $1,255.65	Facility		$106.08	$463.74	$1,255.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $228.07 / $502.65 / $1,087.80	Professional		$228.07	$502.65	$1,087.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.39 / $543.40 / $947.94	Professional		$296.39	$543.40	$947.94
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.08 / $463.74 / $1,255.65	Facility		$106.08	$463.74	$1,255.65
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.70 / $424.06 / $932.00	Professional		$166.70	$424.06	$932.00
United Facility/Professional Professional Modifier Low / Median / High Price $385.45 / $451.08 / $1,306.80	Professional		$385.45	$451.08	$1,306.80