Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.88 / $6,541.00 / $13,413.92	Facility		$209.88	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $78.64 / $383.69	Professional		$59.88	$78.64	$383.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.06 / $127.33 / $248.96	Professional		$70.06	$127.33	$248.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $307.89 / $537.16	Facility		$57.00	$307.89	$537.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $154.43 / $239.83 / $472.50	Professional		$154.43	$239.83	$472.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.25 / $303.75 / $488.70	Professional		$182.25	$303.75	$488.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.83 / $307.89 / $537.16	Facility		$71.83	$307.89	$537.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $247.50 / $473.10	Professional		$89.78	$247.50	$473.10
United Facility/Professional Professional Modifier Low / Median / High Price $166.52 / $208.60 / $549.35	Professional		$166.52	$208.60	$549.35