Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $4,677.35 / $14,125.38	Facility		$707.95	$4,677.35	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $263.03	Professional		$46.77	$58.88	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $67.61 / $380.19	Facility		$52.48	$67.61	$380.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $123.03 / $323.59	Professional		$58.88	$123.03	$323.59
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $173.78 / $288.40	Professional		$162.18	$173.78	$288.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $263.03 / $380.19	Facility		$67.61	$263.03	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $60.26 / $158.49	Professional		$42.66	$60.26	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $190.55 / $295.12	Professional		$67.61	$190.55	$295.12