Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.32 / $6,541.00 / $13,413.92	Facility		$323.32	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $146.13 / $531.27	Professional		$73.20	$146.13	$531.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.39 / $265.39 / $380.39	Professional		$265.39	$265.39	$380.39
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $96.07 / $525.77 / $743.78	Facility		$96.07	$525.77	$743.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $508.20 / $757.90	Professional		$195.70	$508.20	$757.90
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $291.25 / $443.75 / $722.00	Professional		$291.25	$443.75	$722.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.07 / $525.77 / $743.78	Facility		$96.07	$525.77	$743.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $167.68 / $429.20 / $722.00	Professional		$167.68	$429.20	$722.00
United Facility/Professional Professional Modifier Low / Median / High Price $302.43 / $316.76 / $850.23	Professional		$302.43	$316.76	$850.23