Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $348.94 / $6,541.00 / $13,413.92	Facility		$348.94	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $138.76 / $584.15	Professional		$52.95	$138.76	$584.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.27 / $199.27 / $389.91	Professional		$199.27	$199.27	$389.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $74.63 / $409.29 / $817.81	Facility		$74.63	$409.29	$817.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.43 / $395.80 / $802.89	Professional		$172.43	$395.80	$802.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $245.70 / $390.25 / $720.00	Professional		$245.70	$390.25	$720.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.63 / $409.29 / $817.81	Facility		$74.63	$409.29	$817.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $332.85 / $730.00	Professional		$127.00	$332.85	$730.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.42 / $311.92 / $470.56	Professional		$309.42	$311.92	$470.56