Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.13 / $6,541.00 / $13,413.92	Facility		$441.13	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.62 / $153.61 / $728.72	Professional		$103.62	$153.61	$728.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.48 / $380.02 / $681.52	Professional		$282.48	$380.02	$681.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.55 / $597.09 / $1,020.21	Facility		$142.55	$597.09	$1,020.21
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $284.64 / $474.51 / $953.55	Professional		$284.64	$474.51	$953.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $417.50 / $642.20 / $878.00	Professional		$417.50	$642.20	$878.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.55 / $597.09 / $1,020.21	Facility		$142.55	$597.09	$1,020.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $237.19 / $608.75 / $878.00	Professional		$237.19	$608.75	$878.00
United Facility/Professional Professional Modifier Low / Median / High Price $391.98 / $391.98 / $891.75	Professional		$391.98	$391.98	$891.75