Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.11 / $6,541.00 / $13,413.92	Facility		$249.11	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.57 / $408.57 / $478.45	Professional		$408.57	$408.57	$478.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.92 / $102.92 / $274.00	Professional		$102.92	$102.92	$274.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $87.63 / $103.49 / $684.18	Facility		$87.63	$103.49	$684.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.25 / $245.33 / $442.75	Professional		$172.25	$245.33	$442.75
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.75 / $345.60 / $462.99	Professional		$253.75	$345.60	$462.99
Providence Facility/Professional Facility Modifier Low / Median / High Price $103.07 / $124.39 / $684.18	Facility		$103.07	$124.39	$684.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $346.50 / $520.98	Professional		$92.00	$346.50	$520.98
United Facility/Professional Professional Modifier Low / Median / High Price $97.63 / $219.20 / $663.77	Professional		$97.63	$219.20	$663.77