Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.64 / $6,541.00 / $13,413.92	Facility		$308.64	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.26 / $478.37 / $658.16	Professional		$248.26	$478.37	$658.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.24 / $149.24 / $372.16	Professional		$149.24	$149.24	$372.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.82 / $347.56 / $829.93	Facility		$55.82	$347.56	$829.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.70 / $305.86 / $718.20	Professional		$118.70	$305.86	$718.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $179.55 / $292.50 / $667.63	Professional		$179.55	$292.50	$667.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.82 / $347.56 / $829.93	Facility		$55.82	$347.56	$829.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.24 / $292.50 / $852.31	Professional		$149.24	$292.50	$852.31
United Facility/Professional Professional Modifier Low / Median / High Price $297.72 / $446.58 / $730.76	Professional		$297.72	$446.58	$730.76