Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.27 / $6,541.00 / $13,413.92	Facility		$210.27	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $108.69 / $551.79	Professional		$63.67	$108.69	$551.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.36 / $209.60 / $381.30	Professional		$127.36	$209.60	$381.30
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $354.78 / $507.34 / $772.52	Facility		$354.78	$507.34	$772.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $173.05 / $207.66 / $336.72	Professional		$173.05	$207.66	$336.72
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $310.30 / $503.15	Professional		$172.00	$310.30	$503.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $354.78 / $507.34 / $772.52	Facility		$354.78	$507.34	$772.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $279.50 / $514.50	Professional		$131.44	$279.50	$514.50
United Facility/Professional Professional Modifier Low / Median / High Price $130.34 / $305.04 / $460.18	Professional		$130.34	$305.04	$460.18