Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,464.00 / $6,782.00 / $13,413.92	Facility		$2,464.00	$6,782.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.82 / $180.82 / $254.69	Professional		$180.82	$180.82	$254.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $134.44 / $134.44	Professional		$134.44	$134.44	$134.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $180.82 / $258.57	Facility		$47.85	$180.82	$258.57
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $233.10 / $316.10	Professional		$89.75	$233.10	$316.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.75 / $160.94 / $246.40	Professional		$138.75	$160.94	$246.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $180.82 / $258.57	Facility		$47.85	$180.82	$258.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $166.50 / $249.76	Professional		$53.20	$166.50	$249.76
United Facility/Professional Professional Modifier Low / Median / High Price $107.56 / $108.38 / $249.27	Professional		$107.56	$108.38	$249.27