Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.63 / $6,541.00 / $13,413.92	Facility		$346.63	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $480.61 / $584.83	Professional		$63.65	$480.61	$584.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.22 / $210.59 / $403.68	Professional		$168.22	$210.59	$403.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $480.61 / $672.85 / $818.76	Facility		$480.61	$672.85	$818.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $233.70 / $280.44 / $352.26	Professional		$233.70	$280.44	$352.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.84 / $404.02 / $526.35	Professional		$231.84	$404.02	$526.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $480.61 / $672.85 / $818.76	Facility		$480.61	$672.85	$818.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $168.22 / $356.11 / $680.68	Professional		$168.22	$356.11	$680.68
United Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $322.94 / $487.19	Professional		$134.13	$322.94	$487.19