Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $5,128.61 / $14,125.38	Facility		$501.19	$5,128.61	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $165.96 / $426.58	Professional		$79.43	$165.96	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $194.98 / $537.03	Professional		$102.33	$194.98	$537.03
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $204.17 / $645.65	Facility		$95.50	$204.17	$645.65
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $426.58 / $870.96	Professional		$177.83	$426.58	$870.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $489.78 / $933.25	Professional		$257.04	$489.78	$933.25
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $208.93 / $467.74	Facility		$109.65	$208.93	$467.74
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $218.78 / $537.03	Professional		$81.28	$218.78	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $239.88 / $776.25	Professional		$87.10	$239.88	$776.25