Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $7,079.46 / $14,125.38	Facility		$331.13	$7,079.46	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $154.88 / $602.56	Professional		$100.00	$154.88	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $501.19	Professional		$363.08	$363.08	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $213.80 / $851.14	Facility		$131.83	$213.80	$851.14
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $501.19 / $1,071.52	Professional		$263.03	$501.19	$1,071.52
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $870.96	Professional		$457.09	$630.96	$870.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $602.56 / $1,202.26	Facility		$213.80	$602.56	$1,202.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $147.91 / $501.19	Professional		$60.26	$147.91	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $933.25	Professional		$281.84	$398.11	$933.25