Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $5,888.44 / $14,125.38	Facility		$141.25	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $288.40	Professional		$48.98	$79.43	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $204.17	Professional		$64.57	$64.57	$204.17
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $67.61 / $288.40	Facility		$48.98	$67.61	$288.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $138.04 / $229.09	Professional		$95.50	$138.04	$229.09
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $457.09	Professional		$186.21	$208.93	$457.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $67.61 / $380.19	Facility		$51.29	$67.61	$380.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $190.55	Professional		$60.26	$74.13	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $165.96 / $467.74	Professional		$102.33	$165.96	$467.74