Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $408.65 / $6,541.00 / $13,413.92	Facility		$408.65	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.73 / $149.46 / $689.48	Professional		$79.73	$149.46	$689.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $250.01 / $454.11	Professional		$157.80	$250.01	$454.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $422.51 / $604.19 / $965.27	Facility		$422.51	$604.19	$965.27
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $215.10 / $258.12 / $432.81	Professional		$215.10	$258.12	$432.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.91 / $385.70 / $623.51	Professional		$210.91	$385.70	$623.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $422.51 / $604.19 / $965.27	Facility		$422.51	$604.19	$965.27
Providence Facility/Professional Professional Modifier Low / Median / High Price $157.80 / $341.90 / $625.94	Professional		$157.80	$341.90	$625.94
United Facility/Professional Professional Modifier Low / Median / High Price $167.13 / $363.28 / $454.00	Professional		$167.13	$363.28	$454.00