Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.03 / $5,084.91 / $13,413.92	Facility		$242.03	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.59 / $98.87 / $399.83	Professional		$34.59	$98.87	$399.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $172.64 / $383.93	Professional		$102.25	$172.64	$383.93
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $197.14 / $559.76	Facility		$44.11	$197.14	$559.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $214.03 / $512.85	Professional		$98.65	$214.03	$512.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.50 / $253.00 / $462.00	Professional		$152.50	$253.00	$462.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $50.29 / $216.85 / $559.76	Facility		$50.29	$216.85	$559.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $102.25 / $232.05 / $462.00	Professional		$102.25	$232.05	$462.00
United Facility/Professional Professional Modifier Low / Median / High Price $201.28 / $303.64 / $457.91	Professional		$201.28	$303.64	$457.91