Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $5,888.44 / $13,803.84	Facility		$281.84	$5,888.44	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $91.20 / $281.84	Professional		$53.70	$91.20	$281.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $295.12	Professional		$208.93	$208.93	$295.12
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $147.91 / $630.96	Facility		$67.61	$147.91	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $234.42 / $616.60	Professional		$97.72	$234.42	$616.60
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $512.86	Professional		$239.88	$354.81	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $281.84 / $616.60	Facility		$100.00	$281.84	$616.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $81.28 / $295.12	Professional		$56.23	$81.28	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $416.87	Professional		$151.36	$234.42	$416.87