Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.48 / $6,541.00 / $13,413.92	Facility		$240.48	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $250.53 / $380.34	Professional		$63.11	$250.53	$380.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.58 / $184.58 / $262.25	Professional		$184.58	$184.58	$262.25
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $350.74 / $532.48	Facility		$67.17	$350.74	$532.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $336.00 / $565.67	Professional		$129.38	$336.00	$565.67
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.30 / $323.75 / $468.00	Professional		$213.30	$323.75	$468.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.17 / $350.74 / $532.48	Facility		$67.17	$350.74	$532.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $108.78 / $296.30 / $468.00	Professional		$108.78	$296.30	$468.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.80 / $314.70 / $487.55	Professional		$209.80	$314.70	$487.55