Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $5,888.44 / $14,125.38	Facility		$263.03	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $194.98 / $426.58	Professional		$85.11	$194.98	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $218.78 / $616.60	Professional		$107.15	$218.78	$616.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $229.09 / $524.81	Facility		$109.65	$229.09	$524.81
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $562.34 / $1,202.26	Professional		$223.87	$562.34	$1,202.26
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $512.86 / $1,023.29	Professional		$269.15	$512.86	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $234.42 / $537.03	Facility		$123.03	$234.42	$537.03
Providence Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $239.88 / $616.60	Professional		$87.10	$239.88	$616.60
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $245.47 / $741.31	Professional		$93.33	$245.47	$741.31