Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.32 / $9,577.00 / $14,552.94	Facility		$57.32	$9,577.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $83.57 / $123.08	Professional		$41.79	$83.57	$123.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.95 / $69.95 / $90.90	Professional		$69.95	$69.95	$90.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.10 / $27.07 / $176.00	Facility		$23.10	$27.07	$176.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $64.05 / $115.50	Professional		$45.28	$64.05	$115.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $102.48 / $249.15	Professional		$75.59	$102.48	$249.15
Providence Facility/Professional Facility Modifier Low / Median / High Price $27.04 / $32.36 / $176.00	Facility		$27.04	$32.36	$176.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $122.47 / $262.77	Professional		$44.18	$122.47	$262.77
United Facility/Professional Professional Modifier Low / Median / High Price $63.14 / $68.68 / $207.97	Professional		$63.14	$68.68	$207.97