Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $298.48 / $6,541.00 / $13,413.92	Facility		$298.48	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.32 / $250.01 / $507.56	Professional		$48.32	$250.01	$507.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.96 / $172.96 / $356.54	Professional		$172.96	$172.96	$356.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.92 / $350.01 / $710.58	Facility		$61.92	$350.01	$710.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.74 / $321.83 / $689.32	Professional		$139.74	$321.83	$689.32
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.05 / $386.25 / $672.00	Professional		$193.05	$386.25	$672.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $61.92 / $350.01 / $710.58	Facility		$61.92	$350.01	$710.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $273.20 / $678.00	Professional		$102.60	$273.20	$678.00
United Facility/Professional Professional Modifier Low / Median / High Price $276.67 / $285.24 / $713.10	Professional		$276.67	$285.24	$713.10