Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.80 / $9,285.00 / $13,413.92	Facility		$317.80	$9,285.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $87.45 / $536.19	Professional		$37.00	$87.45	$536.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.51 / $159.03 / $355.73	Professional		$81.51	$159.03	$355.73
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $229.24 / $327.81 / $750.67	Facility		$229.24	$327.81	$750.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $140.62 / $330.90	Professional		$109.18	$140.62	$330.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $247.05 / $484.50	Professional		$109.60	$247.05	$484.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $229.24 / $327.81 / $750.67	Facility		$229.24	$327.81	$750.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.10 / $216.38 / $493.50	Professional		$93.10	$216.38	$493.50
United Facility/Professional Professional Modifier Low / Median / High Price $102.41 / $284.58 / $429.32	Professional		$102.41	$284.58	$429.32