Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.38 / $4,806.00 / $13,413.92	Facility		$39.38	$4,806.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $157.22 / $526.92	Professional		$71.56	$157.22	$526.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $180.59 / $419.78	Professional		$102.42	$180.59	$419.78
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.44 / $137.10 / $464.55	Facility		$87.44	$137.10	$464.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $182.91 / $314.82 / $768.08	Professional		$182.91	$314.82	$768.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.75 / $386.13 / $594.52	Professional		$263.75	$386.13	$594.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $87.44 / $137.10 / $721.89	Facility		$87.44	$137.10	$721.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $149.99 / $300.86 / $527.25	Professional		$149.99	$300.86	$527.25
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 $182.55 / $277.70 / $439.84	Professional		$182.55	$277.70	$439.84