Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.88 / $6,541.00 / $13,413.92	Facility		$268.88	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.64 / $137.59 / $425.22	Professional		$69.64	$137.59	$425.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.79 / $177.79 / $299.83	Professional		$177.79	$177.79	$299.83
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $336.77 / $595.30	Facility		$65.20	$336.77	$595.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $126.95 / $329.70 / $628.65	Professional		$126.95	$329.70	$628.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $334.50 / $536.19	Professional		$207.90	$334.50	$536.19
Providence Facility/Professional Facility Modifier Low / Median / High Price $65.20 / $336.77 / $595.30	Facility		$65.20	$336.77	$595.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.63 / $298.00 / $574.04	Professional		$107.63	$298.00	$574.04
United Facility/Professional Professional Modifier Low / Median / High Price $166.07 / $249.16 / $534.92	Professional		$166.07	$249.16	$534.92