Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $492.57 / $6,541.00 / $13,413.92	Facility		$492.57	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.77 / $756.87 / $946.08	Professional		$526.77	$756.87	$946.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.75 / $129.75 / $552.40	Professional		$129.75	$129.75	$552.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.48 / $212.04 / $1,352.89	Facility		$116.48	$212.04	$1,352.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $231.28 / $426.18 / $702.35	Professional		$231.28	$426.18	$702.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.50 / $523.38 / $902.80	Professional		$357.50	$523.38	$902.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $140.01 / $268.39 / $1,352.89	Facility		$140.01	$268.39	$1,352.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $132.97 / $476.00 / $902.80	Professional		$132.97	$476.00	$902.80
United Facility/Professional Professional Modifier Low / Median / High Price $215.95 / $441.92 / $1,338.20	Professional		$215.95	$441.92	$1,338.20