Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $6,541.00 / $13,413.92	Facility		$321.50	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.68 / $374.51 / $545.29	Professional		$72.68	$374.51	$545.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.69 / $265.26 / $511.78	Professional		$186.69	$265.26	$511.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.79 / $411.96 / $763.41	Facility		$100.79	$411.96	$763.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.28 / $345.45 / $694.20	Professional		$193.28	$345.45	$694.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.50 / $440.95 / $612.50	Professional		$279.50	$440.95	$612.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.79 / $411.96 / $763.41	Facility		$100.79	$411.96	$763.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $162.25 / $419.25 / $596.40	Professional		$162.25	$419.25	$596.40
United Facility/Professional Professional Modifier Low / Median / High Price $265.94 / $465.40 / $585.07	Professional		$265.94	$465.40	$585.07