Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.09 / $6,541.00 / $13,413.92	Facility		$232.09	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $379.15 / $445.79	Professional		$67.15	$379.15	$445.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.45 / $93.45 / $263.44	Professional		$93.45	$93.45	$263.44
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.60 / $102.21 / $637.48	Facility		$84.60	$102.21	$637.48
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $167.40 / $230.73 / $428.75	Professional		$167.40	$230.73	$428.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.50 / $330.75 / $447.75	Professional		$247.50	$330.75	$447.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $102.21 / $122.45 / $637.48	Facility		$102.21	$122.45	$637.48
Providence Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $326.70 / $454.72	Professional		$93.00	$326.70	$454.72
United Facility/Professional Professional Modifier Low / Median / High Price $94.44 / $210.76 / $638.22	Professional		$94.44	$210.76	$638.22