Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $5,888.44 / $14,125.38	Facility		$93.33	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $109.65 / $288.40	Professional		$28.18	$109.65	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $512.86	Professional		$79.43	$125.89	$512.86
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $151.36 / $562.34	Facility		$28.18	$151.36	$562.34
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $154.88 / $512.86	Professional		$64.57	$154.88	$512.86
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $645.65	Professional		$120.23	$204.17	$645.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $151.36 / $512.86	Facility		$30.90	$151.36	$512.86
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $79.43 / $288.40	Professional		$41.69	$79.43	$288.40
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $194.98 / $602.56	Professional		$75.86	$194.98	$602.56