Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.47 / $4,835.38 / $11,709.00	Facility		$176.47	$4,835.38	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $141.18 / $190.77	Professional		$32.04	$141.18	$190.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.99 / $101.99 / $127.21	Professional		$101.99	$101.99	$127.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $179.38 / $251.13	Facility		$36.26	$179.38	$251.13
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $69.55 / $180.60 / $255.53	Professional		$69.55	$180.60	$255.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.10 / $153.90 / $214.00	Professional		$116.10	$153.90	$214.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $36.26 / $179.38 / $251.13	Facility		$36.26	$179.38	$251.13
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $145.19 / $216.00	Professional		$56.68	$145.19	$216.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.66 / $101.76 / $229.22	Professional		$99.66	$101.76	$229.22