Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $428.44 / $4,823.91 / $13,413.92	Facility		$428.44	$4,823.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $158.84 / $807.79	Professional		$96.70	$158.84	$807.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $345.74 / $345.74 / $471.82	Professional		$345.74	$345.74	$471.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.11 / $791.41 / $1,130.91	Facility		$128.11	$791.41	$1,130.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $248.25 / $644.70 / $999.63	Professional		$248.25	$644.70	$999.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $411.75 / $578.00 / $800.38	Professional		$411.75	$578.00	$800.38
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.11 / $791.41 / $1,130.91	Facility		$128.11	$791.41	$1,130.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $200.31 / $520.20 / $800.38	Professional		$200.31	$520.20	$800.38
United Facility/Professional Professional Modifier Low / Median / High Price $377.46 / $377.46 / $943.65	Professional		$377.46	$377.46	$943.65