Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.11 / $6,541.00 / $13,413.92	Facility		$302.11	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $314.20 / $440.41 / $569.64	Professional		$314.20	$440.41	$569.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $167.01 / $361.55	Professional		$100.79	$167.01	$361.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $128.57 / $629.79	Facility		$99.90	$128.57	$629.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $313.44 / $711.92	Professional		$208.93	$313.44	$711.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.50 / $406.00 / $564.00	Professional		$287.50	$406.00	$564.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $99.90 / $128.57 / $780.41	Facility		$99.90	$128.57	$780.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $297.50 / $530.12	Professional		$133.96	$297.50	$530.12
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 $133.18 / $263.60 / $397.67	Professional		$133.18	$263.60	$397.67