Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,606.93 / $16,595.87	Facility		$2,511.89	$6,606.93	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $109.65	Professional		$51.29	$64.57	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $79.43 / $371.54	Professional		$52.48	$79.43	$371.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $83.18 / $288.40	Facility		$56.23	$83.18	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $58.88 / $288.40	Professional		$52.48	$58.88	$288.40
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $223.87 / $323.59	Professional		$141.25	$223.87	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $89.13 / $288.40	Facility		$56.23	$89.13	$288.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $75.86 / $181.97	Professional		$52.48	$75.86	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $144.54 / $346.74	Professional		$52.48	$144.54	$346.74