Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.79 / $6,541.00 / $13,413.92	Facility		$342.79	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.29 / $266.73 / $542.13	Professional		$199.29	$266.73	$542.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.72 / $168.06 / $455.13	Professional		$78.72	$168.06	$455.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $62.18 / $139.81 / $331.29	Facility		$62.18	$139.81	$331.29
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $302.45 / $793.10	Professional		$131.78	$302.45	$793.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.00 / $303.36 / $657.04	Professional		$190.00	$303.36	$657.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $62.18 / $139.81 / $742.72	Facility		$62.18	$139.81	$742.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $118.92 / $258.57 / $567.95	Professional		$118.92	$258.57	$567.95
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 $265.50 / $287.52 / $455.39	Professional		$265.50	$287.52	$455.39