Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.87 / $6,541.00 / $13,413.92	Facility		$200.87	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.86 / $81.45 / $378.75	Professional		$54.86	$81.45	$378.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.69 / $200.69 / $232.96	Professional		$200.69	$200.69	$232.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $378.75 / $530.25	Facility		$72.59	$378.75	$530.25
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.28 / $359.10 / $475.20	Professional		$138.28	$359.10	$475.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.15 / $298.50 / $398.00	Professional		$228.15	$298.50	$398.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $378.75 / $530.25	Facility		$72.59	$378.75	$530.25
Providence Facility/Professional Professional Modifier Low / Median / High Price $105.40 / $258.75 / $408.00	Professional		$105.40	$258.75	$408.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.41 / $281.17 / $606.45	Professional		$174.41	$281.17	$606.45