Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.22 / $6,541.00 / $13,413.92	Facility		$533.22	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.20 / $221.43 / $859.73	Professional		$103.20	$221.43	$859.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.69 / $407.69 / $517.64	Professional		$407.69	$407.69	$517.64
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $158.88 / $857.91 / $1,203.61	Facility		$158.88	$857.91	$1,203.61
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $326.70 / $848.40 / $1,231.11	Professional		$326.70	$848.40	$1,231.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.50 / $716.25 / $902.36	Professional		$512.50	$716.25	$902.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $158.88 / $857.91 / $1,203.61	Facility		$158.88	$857.91	$1,203.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.05 / $637.65 / $892.50	Professional		$262.05	$637.65	$892.50
United Facility/Professional Professional Modifier Low / Median / High Price $414.12 / $414.12 / $780.30	Professional		$414.12	$414.12	$780.30