Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.02 / $4,473.04 / $11,709.00	Facility		$113.02	$4,473.04	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $31.50 / $190.69	Professional		$14.83	$31.50	$190.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $70.94 / $133.56	Professional		$44.77	$70.94	$133.56
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $182.85 / $266.97	Facility		$127.87	$182.85	$266.97
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $71.81 / $115.47	Professional		$59.85	$71.81	$115.47
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.38 / $107.30 / $172.55	Professional		$60.38	$107.30	$172.55
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $182.85 / $266.97	Facility		$127.87	$182.85	$266.97
Providence Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $98.80 / $180.88	Professional		$47.74	$98.80	$180.88
United Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $106.84 / $161.18	Professional		$45.22	$106.84	$161.18