Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.88 / $9,285.00 / $13,413.92	Facility		$273.88	$9,285.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $71.36 / $462.07	Professional		$25.41	$71.36	$462.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.71 / $118.07 / $304.68	Professional		$60.71	$118.07	$304.68
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $244.29 / $646.90	Facility		$170.83	$244.29	$646.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.68 / $105.20 / $286.26	Professional		$81.68	$105.20	$286.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $221.89 / $415.50	Professional		$81.59	$221.89	$415.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $170.83 / $244.29 / $646.90	Facility		$170.83	$244.29	$646.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $188.70 / $426.00	Professional		$70.00	$188.70	$426.00
United Facility/Professional Professional Modifier Low / Median / High Price $83.31 / $243.74 / $367.71	Professional		$83.31	$243.74	$367.71