Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.33 / $5,084.91 / $13,413.92	Facility		$163.33	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.23 / $53.75 / $275.56	Professional		$25.23	$53.75	$275.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $94.83 / $180.61	Professional		$48.73	$94.83	$180.61
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $142.78 / $204.18 / $385.78	Facility		$142.78	$204.18	$385.78
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $78.03 / $170.79	Professional		$64.70	$78.03	$170.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $123.20 / $246.05	Professional		$88.00	$123.20	$246.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $142.78 / $204.18 / $385.78	Facility		$142.78	$204.18	$385.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $123.00 / $285.45	Professional		$52.20	$123.00	$285.45
United Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $144.47 / $217.96	Professional		$61.18	$144.47	$217.96