Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $12,022.64 / $16,595.87	Facility		$245.47	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $245.47	Professional		$72.44	$100.00	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $114.82 / $281.84	Professional		$79.43	$114.82	$281.84
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $120.23 / $436.52	Facility		$81.28	$120.23	$436.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $478.63	Professional		$169.82	$251.19	$478.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $478.63	Professional		$199.53	$331.13	$478.63
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $436.52	Facility		$83.18	$131.83	$436.52
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $117.49 / $281.84	Professional		$60.26	$117.49	$281.84
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $223.87 / $537.03	Professional		$77.62	$223.87	$537.03