Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.05 / $6,541.00 / $13,413.92	Facility		$246.05	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.06 / $120.34 / $417.30	Professional		$58.06	$120.34	$417.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.21 / $218.70 / $377.42	Professional		$161.21	$218.70	$377.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $353.27 / $584.22	Facility		$80.48	$353.27	$584.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $160.93 / $258.12 / $518.70	Professional		$160.93	$258.12	$518.70
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $248.30 / $362.87 / $482.00	Professional		$248.30	$362.87	$482.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $353.27 / $584.22	Facility		$80.48	$353.27	$584.22
Providence Facility/Professional Professional Modifier Low / Median / High Price $134.75 / $353.35 / $503.10	Professional		$134.75	$353.35	$503.10
United Facility/Professional Professional Modifier Low / Median / High Price $217.72 / $225.96 / $478.98	Professional		$217.72	$225.96	$478.98