Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.14 / $7,340.00 / $13,413.92	Facility		$358.14	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.34 / $523.26 / $579.66	Professional		$382.34	$523.26	$579.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.44 / $278.44 / $361.15	Professional		$278.44	$278.44	$361.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $535.28 / $808.42	Facility		$99.25	$535.28	$808.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $497.70 / $825.11	Professional		$191.65	$497.70	$825.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $319.95 / $463.75 / $609.91	Professional		$319.95	$463.75	$609.91
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $535.28 / $808.42	Facility		$99.25	$535.28	$808.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $161.90 / $425.50 / $609.91	Professional		$161.90	$425.50	$609.91
United Facility/Professional Professional Modifier Low / Median / High Price $246.78 / $433.38 / $567.59	Professional		$246.78	$433.38	$567.59