Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.19 / $6,541.00 / $13,413.92	Facility		$389.19	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.66 / $401.12 / $642.95	Professional		$72.66	$401.12	$642.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.08 / $331.40 / $583.49	Professional		$206.08	$331.40	$583.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $441.23 / $900.13	Facility		$93.37	$441.23	$900.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $385.26 / $774.15	Professional		$188.10	$385.26	$774.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.75 / $496.25 / $768.36	Professional		$288.75	$496.25	$768.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $93.37 / $441.23 / $900.13	Facility		$93.37	$441.23	$900.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $473.10 / $801.80	Professional		$188.10	$473.10	$801.80
United Facility/Professional Professional Modifier Low / Median / High Price $346.58 / $346.58 / $788.47	Professional		$346.58	$346.58	$788.47