Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.55 / $4,473.04 / $11,709.00	Facility		$227.55	$4,473.04	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.21 / $98.18 / $411.08	Professional		$40.21	$98.18	$411.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.03 / $116.54 / $289.14	Professional		$50.03	$116.54	$289.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.92 / $93.72 / $255.43	Facility		$40.92	$93.72	$255.43
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $201.50 / $522.89	Professional		$82.36	$201.50	$522.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.75 / $228.00 / $439.11	Professional		$118.75	$228.00	$439.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.92 / $93.72 / $563.17	Facility		$40.92	$93.72	$563.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $158.40 / $355.50	Professional		$78.88	$158.40	$355.50
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 $85.53 / $206.20 / $465.78	Professional		$85.53	$206.20	$465.78