Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.97 / $6,541.00 / $13,413.92	Facility		$254.97	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.18 / $102.67 / $403.23	Professional		$65.18	$102.67	$403.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.94 / $220.94 / $281.45	Professional		$220.94	$220.94	$281.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.65 / $403.23 / $564.52	Facility		$80.65	$403.23	$564.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.44 / $401.10 / $595.92	Professional		$154.44	$401.10	$595.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.80 / $359.10 / $478.00	Professional		$253.80	$359.10	$478.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.65 / $403.23 / $564.52	Facility		$80.65	$403.23	$564.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.91 / $329.40 / $478.00	Professional		$126.91	$329.40	$478.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.74 / $337.74 / $510.00	Professional		$221.74	$337.74	$510.00