Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.65 / $6,541.00 / $13,413.92	Facility		$347.65	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $437.52 / $589.64	Professional		$80.54	$437.52	$589.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.74 / $289.92 / $536.86	Professional		$216.74	$289.92	$536.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.71 / $437.52 / $825.50	Facility		$111.71	$437.52	$825.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $221.58 / $367.77 / $739.05	Professional		$221.58	$367.77	$739.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.50 / $488.00 / $630.00	Professional		$342.50	$488.00	$630.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.71 / $481.27 / $825.50	Facility		$111.71	$481.27	$825.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $181.50 / $466.25 / $641.29	Professional		$181.50	$466.25	$641.29
United Facility/Professional Professional Modifier Low / Median / High Price $293.26 / $513.21 / $645.16	Professional		$293.26	$513.21	$645.16