Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $341.02 / $6,240.50 / $13,413.92	Facility		$341.02	$6,240.50	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $123.89 / $561.73	Professional		$65.34	$123.89	$561.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $195.07 / $458.85	Professional		$102.25	$195.07	$458.85
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $80.36 / $145.75 / $424.37	Facility		$80.36	$145.75	$424.37
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.05 / $320.64 / $820.11	Professional		$169.05	$320.64	$820.11
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.75 / $370.00 / $659.93	Professional		$243.75	$370.00	$659.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $80.36 / $145.75 / $769.57	Facility		$80.36	$145.75	$769.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $307.31 / $575.39	Professional		$146.94	$307.31	$575.39
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 $163.96 / $302.12 / $478.51	Professional		$163.96	$302.12	$478.51