Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.64 / $5,084.91 / $13,413.92	Facility		$275.64	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $185.25 / $455.36	Professional		$58.40	$185.25	$455.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.90 / $241.59 / $420.97	Professional		$151.90	$241.59	$420.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $69.31 / $290.41 / $637.50	Facility		$69.31	$290.41	$637.50
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.33 / $286.26 / $575.25	Professional		$142.33	$286.26	$575.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $372.40 / $636.00	Professional		$220.00	$372.40	$636.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $319.45 / $637.50	Facility		$73.55	$319.45	$637.50
Providence Facility/Professional Professional Modifier Low / Median / High Price $143.08 / $367.50 / $640.00	Professional		$143.08	$367.50	$640.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $285.04 / $582.72	Professional		$256.14	$285.04	$582.72