Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.83 / $6,541.00 / $13,413.92	Facility		$277.83	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.22 / $468.77 / $477.13	Professional		$440.22	$468.77	$477.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.41 / $168.88 / $326.02	Professional		$156.41	$168.88	$326.02
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $440.22 / $616.30 / $656.28	Facility		$440.22	$616.30	$656.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $211.79 / $252.27 / $282.39	Professional		$211.79	$252.27	$282.39
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.80 / $363.75 / $421.95	Professional		$198.80	$363.75	$421.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $440.22 / $616.30 / $656.28	Facility		$440.22	$616.30	$656.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.76 / $292.60 / $603.24	Professional		$143.76	$292.60	$603.24
United Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $260.82 / $393.47	Professional		$107.54	$260.82	$393.47