Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.67 / $59.37 / $182.37	Professional		$33.67	$59.37	$182.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.57 / $120.57 / $120.57	Professional		$120.57	$120.57	$120.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $169.81 / $242.83	Facility		$43.56	$169.81	$242.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $83.30 / $216.30 / $287.89	Professional		$83.30	$216.30	$287.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.75 / $149.35 / $220.00	Professional		$128.75	$149.35	$220.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $169.81 / $242.83	Facility		$43.56	$169.81	$242.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.98 / $151.50 / $225.23	Professional		$47.98	$151.50	$225.23
United Facility/Professional Professional Modifier Low / Median / High Price $89.35 / $96.46 / $220.80	Professional		$89.35	$96.46	$220.80