Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.21 / $4,806.00 / $13,413.92	Facility		$484.21	$4,806.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.91 / $301.01 / $999.88	Professional		$103.91	$301.01	$999.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $291.62 / $420.59 / $727.67	Professional		$291.62	$420.59	$727.67
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $123.87 / $562.27 / $1,119.86	Facility		$123.87	$562.27	$1,119.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $274.13 / $487.14 / $978.90	Professional		$274.13	$487.14	$978.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.50 / $627.50 / $948.14	Professional		$407.50	$627.50	$948.14
Providence Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $618.50 / $1,119.86	Facility		$139.41	$618.50	$1,119.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $244.50 / $619.40 / $976.95	Professional		$244.50	$619.40	$976.95
United Facility/Professional Professional Modifier Low / Median / High Price $448.42 / $676.49 / $1,020.16	Professional		$448.42	$676.49	$1,020.16