Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.59 / $6,541.00 / $13,413.92	Facility		$227.59	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.09 / $219.80 / $383.98	Professional		$42.09	$219.80	$383.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $121.67 / $248.94	Professional		$78.06	$121.67	$248.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $219.80 / $314.31 / $537.57	Facility		$219.80	$314.31	$537.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $105.93 / $127.11 / $230.94	Professional		$105.93	$127.11	$230.94
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.40 / $189.95 / $332.72	Professional		$106.40	$189.95	$332.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $219.80 / $314.31 / $537.57	Facility		$219.80	$314.31	$537.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $180.42 / $339.00	Professional		$83.08	$180.42	$339.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $199.16 / $300.45	Professional		$85.88	$199.16	$300.45