Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.27 / $6,541.00 / $13,413.92	Facility		$249.27	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $146.69 / $411.78	Professional		$64.51	$146.69	$411.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.69 / $217.37 / $375.19	Professional		$147.69	$217.37	$375.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $70.55 / $278.98 / $576.49	Facility		$70.55	$278.98	$576.49
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $134.25 / $250.35 / $503.10	Professional		$134.25	$250.35	$503.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.50 / $338.75 / $668.00	Professional		$207.50	$338.75	$668.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $70.55 / $306.88 / $576.49	Facility		$70.55	$306.88	$576.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $323.75 / $763.19	Professional		$127.91	$323.75	$763.19
United Facility/Professional Professional Modifier Low / Median / High Price $221.66 / $334.40 / $504.28	Professional		$221.66	$334.40	$504.28