Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.88 / $4,806.00 / $13,413.92	Facility		$234.88	$4,806.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $100.66 / $396.27	Professional		$30.71	$100.66	$396.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $121.45 / $257.63	Professional		$64.23	$121.45	$257.63
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $179.27 / $256.36 / $554.78	Facility		$179.27	$256.36	$554.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.38 / $109.73 / $246.48	Professional		$91.38	$109.73	$246.48
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.97 / $187.60 / $355.09	Professional		$90.97	$187.60	$355.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $179.27 / $256.36 / $554.78	Facility		$179.27	$256.36	$554.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $168.32 / $363.00	Professional		$77.00	$168.32	$363.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.96 / $206.10 / $310.92	Professional		$91.96	$206.10	$310.92