Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.13 / $10,900.00 / $14,552.94	Facility		$148.13	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.12 / $121.12 / $289.89	Professional		$121.12	$121.12	$289.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.76 / $128.76 / $194.50	Professional		$128.76	$128.76	$194.50
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $68.67 / $121.12 / $173.20	Facility		$68.67	$121.12	$173.20
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $180.32 / $431.54	Professional		$130.19	$180.32	$431.54
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $201.15 / $226.50 / $326.00	Professional		$201.15	$226.50	$326.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.67 / $121.12 / $173.20	Facility		$68.67	$121.12	$173.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $226.50 / $330.04	Professional		$70.30	$226.50	$330.04
United Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $155.60 / $234.74	Professional		$139.19	$155.60	$234.74