Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.72 / $4,806.00 / $13,413.92	Facility		$231.72	$4,806.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $118.05 / $393.00	Professional		$42.84	$118.05	$393.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.26 / $194.86 / $355.40	Professional		$119.26	$194.86	$355.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.36 / $258.64 / $550.20	Facility		$57.36	$258.64	$550.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $235.08 / $487.50	Professional		$112.40	$235.08	$487.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.90 / $266.00 / $430.50	Professional		$172.90	$266.00	$430.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.36 / $258.64 / $550.20	Facility		$57.36	$258.64	$550.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.75 / $259.35 / $425.25	Professional		$99.75	$259.35	$425.25
United Facility/Professional Professional Modifier Low / Median / High Price $196.68 / $344.19 / $432.70	Professional		$196.68	$344.19	$432.70