Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.64 / $6,541.00 / $13,413.92	Facility		$222.64	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $82.73 / $375.65	Professional		$46.25	$82.73	$375.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $137.71 / $250.21	Professional		$90.98	$137.71	$250.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $251.44 / $359.56 / $525.91	Facility		$251.44	$359.56	$525.91
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $143.61 / $234.84	Professional		$119.68	$143.61	$234.84
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $214.60 / $339.00	Professional		$123.20	$214.60	$339.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $251.44 / $359.56 / $525.91	Facility		$251.44	$359.56	$525.91
Providence Facility/Professional Professional Modifier Low / Median / High Price $90.98 / $198.90 / $364.14	Professional		$90.98	$198.90	$364.14
United Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $200.16 / $301.95	Professional		$84.36	$200.16	$301.95