Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $5,888.44 / $14,125.38	Facility		$158.49	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $95.50 / $190.55	Professional		$51.29	$95.50	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $323.59	Professional		$64.57	$125.89	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $114.82 / $281.84	Facility		$60.26	$114.82	$281.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $239.88 / $478.63	Professional		$120.23	$239.88	$478.63
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $309.03 / $588.84	Professional		$162.18	$309.03	$588.84
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $120.23 / $281.84	Facility		$66.07	$120.23	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $295.12	Professional		$60.26	$131.83	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $141.25 / $446.68	Professional		$54.95	$141.25	$446.68