Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $2,344.23 / $14,125.38	Facility		$338.84	$2,344.23	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $295.12	Professional		$75.86	$128.82	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $218.78 / $457.09	Professional		$67.61	$218.78	$457.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $144.54 / $295.12	Facility		$75.86	$144.54	$295.12
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $269.15 / $524.81	Professional		$144.54	$269.15	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $371.54 / $660.69	Professional		$239.88	$371.54	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $131.83 / $295.12	Facility		$67.61	$131.83	$295.12
Providence Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $162.18 / $346.74	Professional		$67.61	$162.18	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $436.52	Professional		$162.18	$269.15	$436.52