Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.87 / $6,541.00 / $13,413.92	Facility		$484.87	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.94 / $430.57 / $801.00	Professional		$81.94	$430.57	$801.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $380.27 / $766.42	Professional		$219.14	$380.27	$766.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.26 / $430.57 / $1,121.40	Facility		$92.26	$430.57	$1,121.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $227.23 / $491.75 / $1,095.90	Professional		$227.23	$491.75	$1,095.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.25 / $506.55 / $1,098.20	Professional		$351.25	$506.55	$1,098.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.48 / $473.63 / $1,121.40	Facility		$106.48	$473.63	$1,121.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $219.14 / $488.00 / $1,098.20	Professional		$219.14	$488.00	$1,098.20
United Facility/Professional Professional Modifier Low / Median / High Price $454.24 / $685.27 / $1,033.40	Professional		$454.24	$685.27	$1,033.40