Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.27 / $6,541.00 / $13,413.92	Facility		$363.27	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $170.53 / $697.72	Professional		$85.12	$170.53	$697.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.81 / $126.81 / $411.23	Professional		$126.81	$126.81	$411.23
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $124.66 / $156.78 / $997.74	Facility		$124.66	$156.78	$997.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $247.45 / $341.58 / $677.25	Professional		$247.45	$341.58	$677.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.25 / $483.75 / $663.75	Professional		$366.25	$483.75	$663.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $193.35 / $997.74	Facility		$150.19	$193.35	$997.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $126.81 / $483.45 / $674.08	Professional		$126.81	$483.45	$674.08
United Facility/Professional Professional Modifier Low / Median / High Price $148.03 / $328.68 / $996.20	Professional		$148.03	$328.68	$996.20