Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.02 / $6,541.00 / $13,413.92	Facility		$342.02	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.95 / $505.80 / $656.94	Professional		$123.95	$505.80	$656.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.86 / $200.86 / $390.15	Professional		$200.86	$200.86	$390.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.69 / $145.16 / $939.42	Facility		$108.69	$145.16	$939.42
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $239.38 / $346.44 / $624.75	Professional		$239.38	$346.44	$624.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.75 / $446.25 / $589.90	Professional		$323.75	$446.25	$589.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.26 / $176.28 / $939.42	Facility		$127.26	$176.28	$939.42
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $438.60 / $632.70	Professional		$123.03	$438.60	$632.70
United Facility/Professional Professional Modifier Low / Median / High Price $178.81 / $314.00 / $468.18	Professional		$178.81	$314.00	$468.18