Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $9,772.37 / $16,595.87	Facility		$281.84	$9,772.37	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $229.09 / $457.09	Professional		$104.71	$229.09	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $346.74 / $851.14	Professional		$97.72	$346.74	$851.14
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $234.42 / $426.58	Facility		$109.65	$234.42	$426.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $575.44 / $933.25	Professional		$213.80	$575.44	$933.25
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $575.44 / $1,122.02	Professional		$371.54	$575.44	$1,122.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $208.93 / $407.38	Facility		$100.00	$208.93	$407.38
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $257.04 / $575.44	Professional		$95.50	$257.04	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $549.54 / $1,096.48	Professional		$251.19	$549.54	$1,096.48