Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.57 / $9,577.00 / $14,552.94	Facility		$191.57	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.35 / $367.94 / $431.32	Professional		$134.35	$367.94	$431.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $84.77 / $245.76	Professional		$84.77	$84.77	$245.76
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $93.99 / $616.79	Facility		$79.31	$93.99	$616.79
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $156.08 / $223.20 / $402.50	Professional		$156.08	$223.20	$402.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.25 / $309.39 / $419.95	Professional		$216.25	$309.39	$419.95
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.10 / $111.81 / $616.79	Facility		$92.10	$111.81	$616.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $82.18 / $304.50 / $479.85	Professional		$82.18	$304.50	$479.85
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $196.60 / $595.34	Professional		$102.94	$196.60	$595.34