Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.92 / $6,541.00 / $13,413.92	Facility		$461.92	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $531.03 / $763.07	Professional		$99.12	$531.03	$763.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.91 / $395.21 / $704.28	Professional		$272.91	$395.21	$704.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $133.35 / $584.13 / $1,068.30	Facility		$133.35	$584.13	$1,068.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $263.63 / $469.68 / $943.80	Professional		$263.63	$469.68	$943.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $392.50 / $605.00 / $916.00	Professional		$392.50	$605.00	$916.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $133.35 / $584.13 / $1,068.30	Facility		$133.35	$584.13	$1,068.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $235.50 / $608.75 / $1,046.53	Professional		$235.50	$608.75	$1,046.53
United Facility/Professional Professional Modifier Low / Median / High Price $417.10 / $629.24 / $948.90	Professional		$417.10	$629.24	$948.90