Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.41 / $7,340.00 / $13,413.92	Facility		$128.41	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $60.46 / $212.12	Professional		$33.21	$60.46	$212.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $123.28 / $188.44	Professional		$90.30	$123.28	$188.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $40.68 / $171.58 / $296.97	Facility		$40.68	$171.58	$296.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $130.02 / $261.30	Professional		$82.48	$130.02	$261.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.25 / $180.25 / $309.70	Professional		$126.25	$180.25	$309.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.76 / $180.30 / $296.97	Facility		$40.76	$180.30	$296.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $180.25 / $309.70	Professional		$70.70	$180.25	$309.70
United Facility/Professional Professional Modifier Low / Median / High Price $119.60 / $239.20 / $299.00	Professional		$119.60	$239.20	$299.00