Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.12 / $6,541.00 / $13,413.92	Facility		$224.12	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $210.87 / $370.22	Professional		$39.67	$210.87	$370.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $184.30 / $350.42	Professional		$109.52	$184.30	$350.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $210.87 / $518.30	Facility		$53.92	$210.87	$518.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $115.93 / $229.25 / $464.10	Professional		$115.93	$229.25	$464.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $176.25 / $326.70 / $739.10	Professional		$176.25	$326.70	$739.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $53.92 / $231.96 / $518.30	Facility		$53.92	$231.96	$518.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $138.60 / $302.50 / $739.10	Professional		$138.60	$302.50	$739.10
United Facility/Professional Professional Modifier Low / Median / High Price $185.70 / $347.82 / $422.47	Professional		$185.70	$347.82	$422.47