Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.33 / $6,541.00 / $13,413.92	Facility		$388.33	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $144.78 / $655.22	Professional		$78.79	$144.78	$655.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.56 / $245.03 / $434.94	Professional		$156.56	$245.03	$434.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $421.08 / $602.14 / $917.31	Facility		$421.08	$602.14	$917.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $214.30 / $257.16 / $411.45	Professional		$214.30	$257.16	$411.45
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $210.11 / $384.25 / $595.50	Professional		$210.11	$384.25	$595.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $421.08 / $602.14 / $917.31	Facility		$421.08	$602.14	$917.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $156.56 / $339.30 / $621.17	Professional		$156.56	$339.30	$621.17
United Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $347.96 / $352.44	Professional		$163.96	$347.96	$352.44