Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.50 / $6,541.00 / $13,413.92	Facility		$265.50	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.22 / $296.66 / $447.97	Professional		$275.22	$296.66	$447.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.24 / $145.59 / $295.13	Professional		$98.24	$145.59	$295.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $275.22 / $393.56 / $627.16	Facility		$275.22	$393.56	$627.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $135.05 / $162.06 / $273.66	Professional		$135.05	$162.06	$273.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $133.60 / $242.15 / $394.24	Professional		$133.60	$242.15	$394.24
Providence Facility/Professional Facility Modifier Low / Median / High Price $275.22 / $393.56 / $627.16	Facility		$275.22	$393.56	$627.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $103.54 / $217.10 / $400.50	Professional		$103.54	$217.10	$400.50
United Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $236.10 / $356.18	Professional		$101.46	$236.10	$356.18