Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.48 / $6,541.00 / $13,413.92	Facility		$205.48	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.80 / $303.88 / $363.44	Professional		$185.80	$303.88	$363.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.15 / $136.15 / $219.87	Professional		$136.15	$136.15	$219.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.55 / $260.12 / $454.97	Facility		$49.55	$260.12	$454.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $243.60 / $482.24	Professional		$93.80	$243.60	$482.24
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $156.60 / $251.99 / $389.40	Professional		$156.60	$251.99	$389.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $49.55 / $260.12 / $454.97	Facility		$49.55	$260.12	$454.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $215.49 / $375.18	Professional		$81.08	$215.49	$375.18
United Facility/Professional Professional Modifier Low / Median / High Price $161.19 / $263.85 / $370.76	Professional		$161.19	$263.85	$370.76