Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $5,888.44 / $14,125.38	Facility		$281.84	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $194.98 / $524.81	Professional		$100.00	$194.98	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $549.54	Professional		$128.82	$128.82	$549.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $223.87 / $758.58	Facility		$102.33	$223.87	$758.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $446.68 / $724.44	Professional		$204.17	$446.68	$724.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $912.01	Professional		$380.19	$524.81	$912.01
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $229.09 / $954.99	Facility		$107.15	$229.09	$954.99
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $131.83 / $316.23	Professional		$60.26	$131.83	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $295.12 / $758.58	Professional		$125.89	$295.12	$758.58