Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $6,541.00 / $13,413.92	Facility		$69.55	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $90.79 / $117.34	Professional		$84.51	$90.79	$117.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.12 / $46.94 / $84.55	Professional		$30.12	$46.94	$84.55
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $84.51 / $118.31 / $164.28	Facility		$84.51	$118.31	$164.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $40.43 / $48.51 / $70.83	Professional		$40.43	$48.51	$70.83
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.25 / $72.50 / $105.85	Professional		$40.25	$72.50	$105.85
Providence Facility/Professional Facility Modifier Low / Median / High Price $84.51 / $118.31 / $164.28	Facility		$84.51	$118.31	$164.28
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $68.40 / $121.38	Professional		$31.36	$68.40	$121.38
United Facility/Professional Professional Modifier Low / Median / High Price $42.45 / $67.64 / $70.36	Professional		$42.45	$67.64	$70.36