Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.90 / $9,577.00 / $13,413.92	Facility		$420.90	$9,577.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $111.91 / $678.62	Professional		$71.40	$111.91	$678.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.12 / $283.12 / $395.09	Professional		$283.12	$283.12	$395.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $111.33 / $608.16 / $950.07	Facility		$111.33	$608.16	$950.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $230.48 / $598.50 / $969.43	Professional		$230.48	$598.50	$969.43
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $383.75 / $521.82 / $696.49	Professional		$383.75	$521.82	$696.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $111.33 / $608.16 / $950.07	Facility		$111.33	$608.16	$950.07
Providence Facility/Professional Professional Modifier Low / Median / High Price $187.28 / $436.80 / $652.12	Professional		$187.28	$436.80	$652.12
United Facility/Professional Professional Modifier Low / Median / High Price $245.76 / $474.09 / $565.25	Professional		$245.76	$474.09	$565.25