Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.19 / $5,084.91 / $13,413.92	Facility		$426.19	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.89 / $116.68 / $687.18	Professional		$82.89	$116.68	$687.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $326.12 / $326.12 / $405.80	Professional		$326.12	$326.12	$405.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.35 / $687.18 / $962.05	Facility		$128.35	$687.18	$962.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $266.85 / $693.00 / $985.22	Professional		$266.85	$693.00	$985.22
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $412.50 / $573.75 / $709.96	Professional		$412.50	$573.75	$709.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $128.35 / $687.18 / $962.05	Facility		$128.35	$687.18	$962.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $214.72 / $510.90 / $692.58	Professional		$214.72	$510.90	$692.58
United Facility/Professional Professional Modifier Low / Median / High Price $262.14 / $486.96 / $602.91	Professional		$262.14	$486.96	$602.91