Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $198.21 / $427.14 / $11,709.00	Facility		$198.21	$427.14	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $208.23 / $533.33	Professional		$75.34	$208.23	$533.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.35 / $267.33 / $453.03	Professional		$201.35	$267.33	$453.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.56 / $401.74 / $711.12	Facility		$87.56	$401.74	$711.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $193.28 / $303.72 / $610.35	Professional		$193.28	$303.72	$610.35
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.75 / $432.90 / $596.40	Professional		$298.75	$432.90	$596.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $96.80 / $431.75 / $711.12	Facility		$96.80	$431.75	$711.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $164.31 / $432.90 / $624.79	Professional		$164.31	$432.90	$624.79
United Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $463.23 / $582.34	Professional		$264.70	$463.23	$582.34