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 $54.46 / $220.07 / $295.58	Professional		$54.46	$220.07	$295.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.08 / $156.08 / $156.08	Professional		$156.08	$156.08	$156.08
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.86 / $220.07 / $314.70	Facility		$57.86	$220.07	$314.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $117.25 / $304.50 / $377.20	Professional		$117.25	$304.50	$377.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.25 / $210.25 / $298.82	Professional		$181.25	$210.25	$298.82
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.86 / $220.07 / $314.70	Facility		$57.86	$220.07	$314.70
Providence Facility/Professional Professional Modifier Low / Median / High Price $63.65 / $204.00 / $299.20	Professional		$63.65	$204.00	$299.20
United Facility/Professional Professional Modifier Low / Median / High Price $122.01 / $187.29 / $289.29	Professional		$122.01	$187.29	$289.29