Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.27 / $6,541.00 / $13,413.92	Facility		$473.27	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.48 / $408.59 / $748.49	Professional		$103.48	$408.59	$748.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $301.60 / $301.60 / $474.09	Professional		$301.60	$301.60	$474.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.71 / $572.03 / $1,047.89	Facility		$109.71	$572.03	$1,047.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $210.25 / $546.00 / $1,097.53	Professional		$210.25	$546.00	$1,097.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $348.30 / $561.96 / $811.93	Professional		$348.30	$561.96	$811.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.71 / $572.03 / $1,047.89	Facility		$109.71	$572.03	$1,047.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $180.03 / $474.09 / $797.30	Professional		$180.03	$474.09	$797.30
United Facility/Professional Professional Modifier Low / Median / High Price $308.77 / $568.89 / $710.19	Professional		$308.77	$568.89	$710.19