Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.26 / $7,340.00 / $13,413.92	Facility		$258.26	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $136.30 / $426.64	Professional		$41.75	$136.30	$426.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.25 / $195.11 / $400.57	Professional		$120.25	$195.11	$400.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.27 / $252.49 / $597.29	Facility		$57.27	$252.49	$597.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $239.75 / $536.25	Professional		$115.38	$239.75	$536.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.25 / $281.39 / $685.90	Professional		$171.25	$281.39	$685.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.27 / $252.49 / $597.29	Facility		$57.27	$252.49	$597.29
Providence Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $270.00 / $685.90	Professional		$115.38	$270.00	$685.90
United Facility/Professional Professional Modifier Low / Median / High Price $203.22 / $311.98 / $569.25	Professional		$203.22	$311.98	$569.25