Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.18 / $6,541.00 / $13,413.92	Facility		$169.18	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.30 / $290.80 / $324.93	Professional		$208.30	$290.80	$324.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $88.15 / $203.40	Professional		$63.37	$88.15	$203.40
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $70.39 / $415.84	Facility		$63.74	$70.39	$415.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $133.49 / $167.88 / $392.92	Professional		$133.49	$167.88	$392.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.50 / $233.55 / $341.25	Professional		$192.50	$233.55	$341.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $76.48 / $445.15	Facility		$63.74	$76.48	$445.15
Providence Facility/Professional Professional Modifier Low / Median / High Price $85.03 / $191.25 / $329.30	Professional		$85.03	$191.25	$329.30
United Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Facility		$200.00	$200.00	$200.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $164.68 / $247.02	Professional		$81.70	$164.68	$247.02