Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $347.49 / $6,541.00 / $13,413.92	Facility		$347.49	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $126.50 / $635.28	Professional		$46.54	$126.50	$635.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.94 / $144.94 / $378.10	Professional		$60.94	$144.94	$378.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $257.83 / $889.39	Facility		$59.84	$257.83	$889.39
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.65 / $328.50 / $798.44	Professional		$131.65	$328.50	$798.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.25 / $348.00 / $716.00	Professional		$176.25	$348.00	$716.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $257.83 / $889.39	Facility		$59.84	$257.83	$889.39
Providence Facility/Professional Professional Modifier Low / Median / High Price $106.56 / $279.11 / $694.00	Professional		$106.56	$279.11	$694.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.22 / $332.50 / $834.34	Professional		$157.22	$332.50	$834.34