Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $427.01 / $6,541.00 / $13,413.92	Facility		$427.01	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $189.49 / $349.16	Professional		$71.04	$189.49	$349.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $255.58 / $552.14	Professional		$129.44	$255.58	$552.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $160.66 / $229.76 / $488.82	Facility		$160.66	$229.76	$488.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $139.90 / $180.19 / $452.00	Professional		$139.90	$180.19	$452.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.47 / $321.00 / $691.20	Professional		$171.47	$321.00	$691.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $160.66 / $229.76 / $488.82	Facility		$160.66	$229.76	$488.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $318.00 / $757.50	Professional		$154.22	$318.00	$757.50
United Facility/Professional Professional Modifier Low / Median / High Price $191.90 / $441.72 / $666.38	Professional		$191.90	$441.72	$666.38