Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.82 / $614.58 / $11,709.00	Facility		$184.82	$614.58	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.25 / $234.41 / $476.01	Professional		$70.25	$234.41	$476.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.51 / $217.84 / $328.80	Professional		$141.51	$217.84	$328.80
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $311.83 / $445.92 / $666.41	Facility		$311.83	$445.92	$666.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $152.83 / $192.38 / $294.02	Professional		$152.83	$192.38	$294.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.20 / $312.00 / $526.50	Professional		$191.20	$312.00	$526.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $311.83 / $445.92 / $666.41	Facility		$311.83	$445.92	$666.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $119.04 / $279.00 / $571.20	Professional		$119.04	$279.00	$571.20
United Facility/Professional Professional Modifier Low / Median / High Price $112.48 / $263.04 / $396.82	Professional		$112.48	$263.04	$396.82