Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.02 / $6,541.00 / $13,413.92	Facility		$307.02	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.45 / $270.97 / $507.20	Professional		$50.45	$270.97	$507.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $233.00 / $479.26	Professional		$141.72	$233.00	$479.26
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.83 / $270.97 / $710.08	Facility		$68.83	$270.97	$710.08
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $285.25 / $639.60	Professional		$131.80	$285.25	$639.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.75 / $448.20 / $725.80	Professional		$203.75	$448.20	$725.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.83 / $298.07 / $710.08	Facility		$68.83	$298.07	$710.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $415.00 / $725.80	Professional		$176.00	$415.00	$725.80
United Facility/Professional Professional Modifier Low / Median / High Price $281.36 / $281.36 / $640.09	Professional		$281.36	$281.36	$640.09