Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.77 / $5,084.91 / $13,413.92	Facility		$96.77	$5,084.91	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $123.53 / $210.02	Professional		$30.52	$123.53	$210.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $88.81 / $141.58	Professional		$65.09	$88.81	$141.58
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $30.52 / $135.88 / $223.83	Facility		$30.52	$135.88	$223.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.09 / $97.05 / $197.00	Professional		$68.09	$97.05	$197.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $145.00 / $817.00	Professional		$99.90	$145.00	$817.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.52 / $135.90 / $223.83	Facility		$30.52	$135.90	$223.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $84.37 / $161.69 / $817.00	Professional		$84.37	$161.69	$817.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.42 / $180.84 / $283.57	Professional		$90.42	$180.84	$283.57