Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.31 / $6,541.00 / $13,413.92	Facility		$75.31	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.10 / $32.71 / $159.93	Professional		$21.10	$32.71	$159.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.22 / $59.42 / $112.79	Professional		$43.22	$59.42	$112.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $127.09 / $177.93 / $223.90	Facility		$127.09	$177.93	$223.90
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $71.81 / $95.10	Professional		$59.85	$71.81	$95.10
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.57 / $106.70 / $142.10	Professional		$59.57	$106.70	$142.10
Providence Facility/Professional Facility Modifier Low / Median / High Price $127.09 / $177.93 / $223.90	Facility		$127.09	$177.93	$223.90
Providence Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $92.15 / $173.74	Professional		$46.50	$92.15	$173.74
United Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $90.22 / $136.11	Professional		$37.24	$90.22	$136.11