Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $1,288.25 / $14,454.40	Facility		$239.88	$1,288.25	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $371.54	Professional		$199.53	$199.53	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $239.88	Facility		$199.53	$199.53	$239.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $645.65	Professional		$199.53	$199.53	$645.65
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $338.84 / $524.81	Facility		$199.53	$338.84	$524.81
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $524.81	Facility		$371.54	$371.54	$524.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $186.21 / $213.80	Professional		$60.26	$186.21	$213.80
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $3,388.44	Professional		$223.87	$302.00	$3,388.44