Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $5,888.44 / $14,125.38	Facility		$134.90	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $100.00 / $218.78	Professional		$42.66	$100.00	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $354.81	Professional		$109.65	$186.21	$354.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $186.21 / $371.54	Facility		$72.44	$186.21	$371.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $199.53 / $371.54	Professional		$97.72	$199.53	$371.54
Moda Health Facility/Professional Professional Modifier 50 Low / Median / High Price $363.08 / $363.08 / $380.19	Professional	50	$363.08	$363.08	$380.19
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $331.13 / $512.86	Professional		$181.97	$331.13	$512.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $147.91 / $323.59	Facility		$47.86	$147.91	$323.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $112.20 / $186.21	Professional		$60.26	$112.20	$186.21
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $398.11	Professional		$112.20	$177.83	$398.11