Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.98 / $7,340.00 / $13,413.92	Facility		$358.98	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.12 / $366.68 / $605.66	Professional		$340.12	$366.68	$605.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.89 / $235.28 / $422.54	Professional		$121.89	$235.28	$422.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $340.12 / $486.37 / $847.94	Facility		$340.12	$486.37	$847.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $166.58 / $199.89 / $369.72	Professional		$166.58	$199.89	$369.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $307.50 / $552.45	Professional		$165.60	$307.50	$552.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $340.12 / $486.37 / $847.94	Facility		$340.12	$486.37	$847.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $128.68 / $304.50 / $580.50	Professional		$128.68	$304.50	$580.50
United Facility/Professional Professional Modifier Low / Median / High Price $146.68 / $338.04 / $509.97	Professional		$146.68	$338.04	$509.97