Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $364.56 / $4,473.04 / $11,709.00	Facility		$364.56	$4,473.04	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $162.11 / $666.48	Professional		$28.03	$162.11	$666.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.11 / $109.08 / $489.21	Professional		$46.11	$109.08	$489.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $147.47 / $308.77	Facility		$38.72	$147.47	$308.77
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $317.08 / $833.86	Professional		$77.16	$317.08	$833.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.25 / $457.04 / $835.02	Professional		$111.25	$457.04	$835.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $147.47 / $913.08	Facility		$38.72	$147.47	$913.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $203.37 / $775.93	Professional		$74.54	$203.37	$775.93
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 $220.00 / $365.66 / $551.64	Professional		$220.00	$365.66	$551.64