Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $362.70 / $4,473.04 / $11,709.00	Facility		$362.70	$4,473.04	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $176.25 / $919.06	Professional		$65.56	$176.25	$919.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.33 / $244.31 / $712.31	Professional		$113.33	$244.31	$712.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.81 / $216.24 / $536.45	Facility		$92.81	$216.24	$536.45
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $187.25 / $464.92 / $1,233.16	Professional		$187.25	$464.92	$1,233.16
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.00 / $520.99 / $1,015.67	Professional		$270.00	$520.99	$1,015.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.81 / $216.24 / $1,259.10	Facility		$92.81	$216.24	$1,259.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $173.49 / $387.18 / $922.00	Professional		$173.49	$387.18	$922.00
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.65 / $459.68 / $801.62	Professional		$236.65	$459.68	$801.62