Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.70 / $5,084.91 / $13,413.92	Facility		$317.70	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $118.57 / $580.85	Professional		$39.57	$118.57	$580.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $110.57 / $342.72	Professional		$45.55	$110.57	$342.72
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.90 / $214.22 / $813.19	Facility		$49.90	$214.22	$813.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $109.78 / $277.38 / $722.76	Professional		$109.78	$277.38	$722.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.80 / $263.14 / $565.66	Professional		$142.80	$263.14	$565.66
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.07 / $214.22 / $813.19	Facility		$49.07	$214.22	$813.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.90 / $226.10 / $510.00	Professional		$89.90	$226.10	$510.00
United Facility/Professional Professional Modifier Low / Median / High Price $217.60 / $252.00 / $688.04	Professional		$217.60	$252.00	$688.04