Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.05 / $6,541.00 / $13,413.92	Facility		$379.05	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $191.16 / $599.46	Professional		$98.12	$191.16	$599.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.33 / $270.33 / $420.63	Professional		$270.33	$270.33	$420.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.69 / $518.88 / $839.24	Facility		$99.69	$518.88	$839.24
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $194.08 / $504.00 / $883.14	Professional		$194.08	$504.00	$883.14
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $322.64 / $507.50 / $740.00	Professional		$322.64	$507.50	$740.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.69 / $518.88 / $839.24	Facility		$99.69	$518.88	$839.24
Providence Facility/Professional Professional Modifier Low / Median / High Price $166.46 / $438.67 / $740.00	Professional		$166.46	$438.67	$740.00
United Facility/Professional Professional Modifier Low / Median / High Price $330.38 / $504.75 / $759.87	Professional		$330.38	$504.75	$759.87