Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.94 / $6,541.00 / $13,413.92	Facility		$391.94	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.59 / $481.12 / $647.47	Professional		$94.59	$481.12	$647.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.07 / $321.64 / $615.55	Professional		$243.07	$321.64	$615.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.44 / $481.12 / $906.46	Facility		$99.44	$481.12	$906.46
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $259.58 / $426.00 / $856.05	Professional		$259.58	$426.00	$856.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.25 / $535.50 / $717.60	Professional		$336.25	$535.50	$717.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $126.57 / $529.23 / $906.46	Facility		$126.57	$529.23	$906.46
Providence Facility/Professional Professional Modifier Low / Median / High Price $204.23 / $513.15 / $712.92	Professional		$204.23	$513.15	$712.92
United Facility/Professional Professional Modifier Low / Median / High Price $281.94 / $483.33 / $728.86	Professional		$281.94	$483.33	$728.86