Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.25 / $6,541.00 / $13,413.92	Facility		$150.25	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.39 / $91.45 / $288.58	Professional		$72.39	$91.45	$288.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $65.05 / $205.95	Professional		$65.05	$65.05	$205.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.15 / $67.45 / $412.67	Facility		$57.15	$67.45	$412.67
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $147.51 / $266.00	Professional		$112.40	$147.51	$266.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.65 / $232.90 / $510.60	Professional		$187.65	$232.90	$510.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $74.39 / $412.67	Facility		$67.45	$74.39	$412.67
Providence Facility/Professional Professional Modifier Low / Median / High Price $76.22 / $257.50 / $580.39	Professional		$76.22	$257.50	$580.39
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $164.76 / $498.92	Professional		$102.94	$164.76	$498.92