Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.24 / $5,328.00 / $11,709.00	Facility		$327.24	$5,328.00	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $117.51 / $628.54	Professional		$45.72	$117.51	$628.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.94 / $120.43 / $437.65	Professional		$53.94	$120.43	$437.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $130.76 / $299.20	Facility		$45.45	$130.76	$299.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $90.16 / $281.43 / $740.80	Professional		$90.16	$281.43	$740.80
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $291.51 / $645.75	Professional		$130.00	$291.51	$645.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $130.76 / $861.11	Facility		$45.45	$130.76	$861.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $200.61 / $591.53	Professional		$87.10	$200.61	$591.53
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 $211.52 / $295.36 / $667.18	Professional		$211.52	$295.36	$667.18