Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $6,606.93 / $16,595.87	Facility		$234.42	$6,606.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $87.10 / $363.08	Professional		$66.07	$87.10	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $107.15 / $512.86	Facility		$75.86	$107.15	$512.86
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $208.93 / $524.81	Professional		$95.50	$208.93	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $436.52	Professional		$302.00	$302.00	$436.52
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $363.08 / $524.81	Facility		$107.15	$363.08	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $72.44 / $263.03	Professional		$60.26	$72.44	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $537.03	Professional		$194.98	$213.80	$537.03