Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $289.72 / $6,541.00 / $13,413.92	Facility		$289.72	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $102.72 / $556.46	Professional		$81.00	$102.72	$556.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.28 / $91.28 / $324.95	Professional		$91.28	$91.28	$324.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $121.16 / $150.51 / $795.74	Facility		$121.16	$150.51	$795.74
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $241.80 / $302.76 / $546.00	Professional		$241.80	$302.76	$546.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.25 / $423.90 / $570.96	Professional		$351.25	$423.90	$570.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.51 / $157.44 / $795.74	Facility		$150.51	$157.44	$795.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $475.20 / $646.66	Professional		$97.09	$475.20	$646.66
United Facility/Professional Professional Modifier Low / Median / High Price $136.36 / $259.95 / $787.20	Professional		$136.36	$259.95	$787.20