Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.80 / $9,285.00 / $13,413.92	Facility		$338.80	$9,285.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.65 / $97.19 / $571.63	Professional		$46.65	$97.19	$571.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $175.64 / $382.42	Professional		$89.20	$175.64	$382.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.83 / $360.12 / $800.28	Facility		$251.83	$360.12	$800.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $151.02 / $350.31	Professional		$117.25	$151.02	$350.31
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $265.35 / $517.50	Professional		$120.00	$265.35	$517.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.83 / $360.12 / $800.28	Facility		$251.83	$360.12	$800.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $236.80 / $525.00	Professional		$106.22	$236.80	$525.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.73 / $305.94 / $461.54	Professional		$116.73	$305.94	$461.54