Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.72 / $6,541.00 / $13,413.92	Facility		$501.72	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.56 / $219.78 / $963.66	Professional		$75.56	$219.78	$963.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.99 / $126.99 / $553.60	Professional		$126.99	$126.99	$553.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.28 / $216.90 / $1,378.03	Facility		$83.28	$216.90	$1,378.03
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.92 / $437.03 / $711.45	Professional		$165.92	$437.03	$711.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $461.25 / $943.50	Professional		$255.00	$461.25	$943.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $97.63 / $277.17 / $1,378.03	Facility		$97.63	$277.17	$1,378.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.63 / $379.25 / $915.75	Professional		$134.63	$379.25	$915.75
United Facility/Professional Professional Modifier Low / Median / High Price $421.40 / $442.88 / $664.32	Professional		$421.40	$442.88	$664.32