Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.36 / $6,541.00 / $13,413.92	Facility		$309.36	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.12 / $217.12 / $594.16	Professional		$76.12	$217.12	$594.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $131.44 / $333.19	Professional		$131.44	$131.44	$333.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $303.97 / $831.84	Facility		$47.50	$303.97	$831.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $100.42 / $279.80 / $726.60	Professional		$100.42	$279.80	$726.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.19 / $432.50 / $633.17	Professional		$151.19	$432.50	$633.17
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $303.97 / $831.84	Facility		$47.50	$303.97	$831.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $264.18 / $685.50	Professional		$131.44	$264.18	$685.50
United Facility/Professional Professional Modifier Low / Median / High Price $257.82 / $399.81 / $658.00	Professional		$257.82	$399.81	$658.00