Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $459.77 / $6,541.00 / $13,413.92	Facility		$459.77	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.53 / $208.68 / $816.37	Professional		$98.53	$208.68	$816.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.58 / $377.58 / $503.67	Professional		$377.58	$377.58	$503.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $135.93 / $728.41 / $1,037.82	Facility		$135.93	$728.41	$1,037.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $264.43 / $686.70 / $1,073.10	Professional		$264.43	$686.70	$1,073.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $438.75 / $634.00 / $867.51	Professional		$438.75	$634.00	$867.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $135.93 / $728.41 / $1,037.82	Facility		$135.93	$728.41	$1,037.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.52 / $580.90 / $854.26	Professional		$219.52	$580.90	$854.26
United Facility/Professional Professional Modifier Low / Median / High Price $402.94 / $402.94 / $856.57	Professional		$402.94	$402.94	$856.57