Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $5,888.44 / $14,125.38	Facility		$269.15	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $123.03 / $436.52	Professional		$72.44	$123.03	$436.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $331.13	Professional		$309.03	$309.03	$331.13
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $630.96	Facility		$75.86	$100.00	$630.96
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $257.04 / $331.13	Professional		$186.21	$257.04	$331.13
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $354.81 / $426.58	Professional		$199.53	$354.81	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $123.03 / $630.96	Facility		$74.13	$123.03	$630.96
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $144.54 / $309.03	Professional		$60.26	$144.54	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $245.47 / $371.54	Professional		$125.89	$245.47	$371.54