Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $9,772.37 / $16,595.87	Facility		$204.17	$9,772.37	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $281.84	Professional		$64.57	$100.00	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $229.09 / $436.52	Professional		$165.96	$229.09	$436.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $141.25 / $478.63	Facility		$64.57	$141.25	$478.63
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $524.81	Professional		$165.96	$302.00	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $562.34	Professional		$251.19	$389.05	$562.34
Providence Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $134.90 / $467.74	Facility		$69.18	$134.90	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $229.09	Professional		$60.26	$134.90	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $316.23 / $501.19	Professional		$91.20	$316.23	$501.19