Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.46 / $2,464.00 / $11,709.00	Facility		$134.46	$2,464.00	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.00 / $45.36 / $191.23	Professional		$23.00	$45.36	$191.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $54.60 / $107.69	Professional		$30.31	$54.60	$107.69
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $107.57 / $153.83 / $267.72	Facility		$107.57	$153.83	$267.72
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $48.75 / $95.10	Professional		$40.43	$48.75	$95.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $76.50 / $139.50	Professional		$40.79	$76.50	$139.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.57 / $153.83 / $267.72	Facility		$107.57	$153.83	$267.72
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.64 / $75.00 / $142.50	Professional		$32.64	$75.00	$142.50
United Facility/Professional Professional Modifier Low / Median / High Price $36.10 / $86.14 / $129.94	Professional		$36.10	$86.14	$129.94