Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,473.04 / $6,782.00 / $13,413.92	Facility		$4,473.04	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $59.18 / $288.92	Professional		$54.30	$59.18	$288.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.06 / $84.55 / $370.76	Professional		$53.06	$84.55	$370.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $288.92 / $413.16	Facility		$54.96	$288.92	$413.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $75.05 / $75.05	Professional		$52.54	$75.05	$75.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.78 / $254.40 / $408.20	Professional		$143.78	$254.40	$408.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $54.96 / $288.92 / $413.16	Facility		$54.96	$288.92	$413.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.05 / $238.50 / $352.34	Professional		$78.05	$238.50	$352.34
United Facility/Professional Professional Modifier Low / Median / High Price $125.14 / $143.97 / $431.94	Professional		$125.14	$143.97	$431.94