Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.12 / $6,541.00 / $13,413.92	Facility		$391.12	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $242.21 / $646.13	Professional		$74.66	$242.21	$646.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.24 / $341.29 / $597.75	Professional		$209.24	$341.29	$597.75
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $440.12 / $904.58	Facility		$100.00	$440.12	$904.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.57 / $383.31 / $770.25	Professional		$190.57	$383.31	$770.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $292.50 / $493.75 / $843.60	Professional		$292.50	$493.75	$843.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $440.12 / $904.58	Facility		$100.00	$440.12	$904.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $197.94 / $477.95 / $843.60	Professional		$197.94	$477.95	$843.60
United Facility/Professional Professional Modifier Low / Median / High Price $382.36 / $576.83 / $869.87	Professional		$382.36	$576.83	$869.87