Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.98 / $6,541.00 / $13,413.92	Facility		$265.98	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $103.19 / $448.74	Professional		$68.20	$103.19	$448.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $164.06 / $303.89	Professional		$96.15	$164.06	$303.89
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $283.13 / $404.88 / $628.24	Facility		$283.13	$404.88	$628.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.43 / $171.85 / $274.62	Professional		$133.43	$171.85	$274.62
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.83 / $239.25 / $403.50	Professional		$132.83	$239.25	$403.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $283.13 / $404.88 / $628.24	Facility		$283.13	$404.88	$628.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.20 / $210.60 / $403.50	Professional		$99.20	$210.60	$403.50
United Facility/Professional Professional Modifier Low / Median / High Price $102.22 / $243.12 / $366.77	Professional		$102.22	$243.12	$366.77