Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.49 / $10,900.00 / $14,552.94	Facility		$309.49	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.10 / $116.46 / $565.83	Professional		$105.10	$116.46	$565.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.22 / $165.16 / $364.15	Professional		$102.22	$165.16	$364.15
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $565.83 / $792.16	Facility		$106.57	$565.83	$792.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.14 / $389.13 / $719.18	Professional		$257.14	$389.13	$719.18
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.45 / $502.40 / $784.67	Professional		$278.45	$502.40	$784.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $106.57 / $565.83 / $792.16	Facility		$106.57	$565.83	$792.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $125.17 / $380.40 / $684.61	Professional		$125.17	$380.40	$684.61
United Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $291.32 / $803.56	Professional		$108.00	$291.32	$803.56