Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $5,370.32 / $14,125.38	Facility		$354.81	$5,370.32	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $478.63	Professional		$77.62	$112.20	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $407.38	Professional		$338.84	$338.84	$407.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $831.76	Facility		$83.18	$131.83	$831.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $389.05	Professional		$190.55	$288.40	$389.05
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $389.05 / $524.81	Professional		$239.88	$389.05	$524.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $131.83 / $691.83	Facility		$83.18	$131.83	$691.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $165.96 / $363.08	Professional		$60.26	$165.96	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $269.15 / $407.38	Professional		$102.33	$269.15	$407.38