Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $448.51 / $6,541.00 / $13,413.92	Facility		$448.51	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $817.57 / $817.57 / $861.45	Professional		$817.57	$817.57	$861.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.91 / $139.91 / $509.66	Professional		$139.91	$139.91	$509.66
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.10 / $221.49 / $1,231.86	Facility		$182.10	$221.49	$1,231.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $362.28 / $459.00 / $827.75	Professional		$362.28	$459.00	$827.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.00 / $635.85 / $830.65	Professional		$535.00	$635.85	$830.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $221.49 / $234.82 / $1,231.86	Facility		$221.49	$234.82	$1,231.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.29 / $707.85 / $984.84	Professional		$149.29	$707.85	$984.84
United Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $407.72 / $1,234.64	Professional		$182.00	$407.72	$1,234.64