Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $5,888.44 / $14,125.38	Facility		$575.44	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $199.53 / $407.38	Professional		$107.15	$199.53	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $213.80 / $630.96	Professional		$123.03	$213.80	$630.96
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $229.09 / $575.44	Facility		$109.65	$229.09	$575.44
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $549.54 / $1,148.15	Professional		$257.04	$549.54	$1,148.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $616.60 / $1,023.29	Professional		$323.59	$616.60	$1,023.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $218.78 / $575.44	Facility		$112.20	$218.78	$575.44
Providence Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $251.19 / $630.96	Professional		$107.15	$251.19	$630.96
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $281.84 / $870.96	Professional		$112.20	$281.84	$870.96