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 $50.12 / $57.38 / $296.27	Professional		$50.12	$57.38	$296.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.17 / $78.98 / $180.48	Professional		$48.17	$78.98	$180.48
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.54 / $296.27 / $423.67	Facility		$60.54	$296.27	$423.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $118.08 / $152.08 / $329.91	Professional		$118.08	$152.08	$329.91
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.40 / $199.80 / $292.00	Professional		$131.40	$199.80	$292.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.06 / $209.35 / $414.78	Facility		$64.06	$209.35	$414.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $59.46 / $169.08 / $297.00	Professional		$59.46	$169.08	$297.00
United Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $144.38 / $216.57	Professional		$54.73	$144.38	$216.57