Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $5,888.44 / $14,125.38	Facility		$363.08	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $398.11	Professional		$75.86	$114.82	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $389.05	Professional		$288.40	$288.40	$389.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $165.96 / $794.33	Facility		$97.72	$165.96	$794.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $380.19 / $831.76	Professional		$128.82	$380.19	$831.76
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $660.69	Professional		$338.84	$501.19	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $407.38 / $794.33	Facility		$141.25	$407.38	$794.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $389.05	Professional		$60.26	$109.65	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $575.44	Professional		$218.78	$309.03	$575.44