Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,511.89 / $14,125.38	Facility		$173.78	$2,511.89	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $75.86 / $186.21	Professional		$36.31	$75.86	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $234.42	Professional		$107.15	$107.15	$234.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $100.00 / $331.13	Facility		$34.67	$100.00	$331.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $194.98 / $489.78	Professional		$64.57	$194.98	$489.78
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $257.04 / $426.58	Professional		$120.23	$257.04	$426.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $154.88 / $457.09	Facility		$56.23	$154.88	$457.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $60.26 / $234.42	Professional		$28.84	$60.26	$234.42
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $186.21 / $295.12	Professional		$85.11	$186.21	$295.12