Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.10 / $6,541.00 / $13,413.92	Facility		$487.10	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $163.62 / $804.68	Professional		$104.59	$163.62	$804.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.02 / $417.00 / $756.83	Professional		$288.02	$417.00	$756.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $145.46 / $603.76 / $1,126.55	Facility		$145.46	$603.76	$1,126.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $283.02 / $521.10 / $1,047.15	Professional		$283.02	$521.10	$1,047.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.50 / $671.25 / $942.00	Professional		$427.50	$671.25	$942.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $145.46 / $603.76 / $1,126.55	Facility		$145.46	$603.76	$1,126.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $254.10 / $649.79 / $930.00	Professional		$254.10	$649.79	$930.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.58 / $652.59 / $984.12	Professional		$432.58	$652.59	$984.12