Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.70 / $111.34 / $581.19	Professional		$104.70	$111.34	$581.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.07 / $169.47 / $373.91	Professional		$102.07	$169.47	$373.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $105.56 / $581.19 / $813.67	Facility		$105.56	$581.19	$813.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $253.93 / $400.20 / $743.77	Professional		$253.93	$400.20	$743.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $279.89 / $513.24 / $774.80	Professional		$279.89	$513.24	$774.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $105.56 / $581.19 / $813.67	Facility		$105.56	$581.19	$813.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.94 / $379.20 / $700.22	Professional		$125.94	$379.20	$700.22
United Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $299.12 / $825.07	Professional		$145.91	$299.12	$825.07