Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.54 / $4,806.00 / $13,413.92	Facility		$154.54	$4,806.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $55.34 / $311.82	Professional		$27.19	$55.34	$311.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.12 / $87.65 / $164.84	Professional		$57.12	$87.65	$164.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $182.07 / $260.36 / $436.55	Facility		$182.07	$260.36	$436.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.05 / $96.06 / $167.88	Professional		$80.05	$96.06	$167.88
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.50 / $140.07 / $241.85	Professional		$104.50	$140.07	$241.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $182.07 / $260.36 / $436.55	Facility		$182.07	$260.36	$436.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $131.40 / $228.00	Professional		$60.80	$131.40	$228.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.18 / $131.88 / $198.95	Professional		$55.18	$131.88	$198.95