Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.41 / $6,541.00 / $13,413.92	Facility		$487.41	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $148.30 / $891.08	Professional		$35.50	$148.30	$891.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $149.50 / $675.18	Professional		$56.89	$149.50	$675.18
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.31 / $191.02 / $296.48	Facility		$47.31	$191.02	$296.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $94.50 / $310.25 / $1,091.85	Professional		$94.50	$310.25	$1,091.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.25 / $410.75 / $970.51	Professional		$136.25	$410.75	$970.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.31 / $191.02 / $1,220.78	Facility		$47.31	$191.02	$1,220.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.21 / $249.70 / $779.74	Professional		$92.21	$249.70	$779.74
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.54 / $421.22 / $835.57	Professional		$280.54	$421.22	$835.57