Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $5,888.44 / $14,125.38	Facility		$302.00	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $208.93 / $457.09	Professional		$95.50	$208.93	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $251.19 / $645.65	Professional		$109.65	$251.19	$645.65
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $239.88 / $1,071.52	Facility		$114.82	$239.88	$1,071.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $549.54 / $1,122.02	Professional		$234.42	$549.54	$1,122.02
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $1,174.90	Professional		$295.12	$562.34	$1,174.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $257.04 / $758.58	Facility		$120.23	$257.04	$758.58
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $257.04 / $645.65	Professional		$95.50	$257.04	$645.65
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $275.42 / $851.14	Professional		$102.33	$275.42	$851.14