Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $397.61 / $1,331.42 / $11,709.00	Facility		$397.61	$1,331.42	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.31 / $90.46 / $595.77	Professional		$40.31	$90.46	$595.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $204.17 / $389.97	Professional		$106.35	$204.17	$389.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $297.39 / $595.77 / $846.64	Facility		$297.39	$595.77	$846.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $147.18 / $189.56 / $375.54	Professional		$147.18	$189.56	$375.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.70 / $270.89 / $541.03	Professional		$194.70	$270.89	$541.03
Providence Facility/Professional Facility Modifier Low / Median / High Price $297.39 / $425.27 / $834.08	Facility		$297.39	$425.27	$834.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $123.20 / $262.50 / $535.50	Professional		$123.20	$262.50	$535.50
United Facility/Professional Professional Modifier Low / Median / High Price $94.98 / $311.98 / $470.65	Professional		$94.98	$311.98	$470.65