Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.38 / $6,541.00 / $13,413.92	Facility		$77.38	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $26.38 / $130.58	Professional		$18.39	$26.38	$130.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $75.95 / $91.09	Professional		$75.95	$75.95	$91.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $130.58 / $182.81	Facility		$26.39	$130.58	$182.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $128.10 / $181.06	Professional		$49.33	$128.10	$181.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $108.50 / $154.00	Professional		$82.35	$108.50	$154.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.39 / $130.58 / $182.81	Facility		$26.39	$130.58	$182.81
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $98.75 / $154.00	Professional		$40.15	$98.75	$154.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.01 / $109.95 / $182.20	Professional		$67.01	$109.95	$182.20