Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.02 / $6,541.00 / $13,413.92	Facility		$268.02	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $99.45 / $490.00	Professional		$51.42	$99.45	$490.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.90 / $124.56 / $320.74	Professional		$66.90	$124.56	$320.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $281.16 / $686.00	Facility		$65.06	$281.16	$686.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $140.13 / $278.25 / $592.20	Professional		$140.13	$278.25	$592.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.20 / $343.20 / $614.00	Professional		$187.20	$343.20	$614.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.06 / $281.16 / $686.00	Facility		$65.06	$281.16	$686.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $264.00 / $590.00	Professional		$105.64	$264.00	$590.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.36 / $256.60 / $707.79	Professional		$136.36	$256.60	$707.79