Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.86 / $6,541.00 / $13,413.92	Facility		$195.86	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.60 / $75.55 / $330.47	Professional		$28.60	$75.55	$330.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $108.34 / $222.33	Professional		$55.42	$108.34	$222.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $219.42 / $462.66	Facility		$153.44	$219.42	$462.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $94.80 / $203.79	Professional		$73.59	$94.80	$203.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.40 / $156.41 / $304.50	Professional		$74.40	$156.41	$304.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $219.42 / $462.66	Facility		$153.44	$219.42	$462.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $137.60 / $306.00	Professional		$63.70	$137.60	$306.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $177.86 / $268.32	Professional		$77.52	$177.86	$268.32