Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $261.01 / $6,541.00 / $13,413.92	Facility		$261.01	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $147.68 / $477.18	Professional		$33.61	$147.68	$477.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $96.38 / $295.08	Professional		$96.38	$96.38	$295.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $206.75 / $668.05	Facility		$35.39	$206.75	$668.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $88.32 / $227.18 / $632.10	Professional		$88.32	$227.18	$632.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $245.70 / $648.92	Professional		$120.15	$245.70	$648.92
Providence Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $206.75 / $668.05	Facility		$35.39	$206.75	$668.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $207.17 / $648.92	Professional		$65.86	$207.17	$648.92
United Facility/Professional Professional Modifier Low / Median / High Price $236.08 / $356.15 / $566.12	Professional		$236.08	$356.15	$566.12