Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $6,541.00 / $13,413.92	Facility		$109.16	$6,541.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $182.04 / $209.67	Professional		$64.79	$182.04	$209.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.06 / $110.06 / $127.21	Professional		$110.06	$110.06	$127.21
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $47.25 / $299.83	Facility		$39.65	$47.25	$299.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $109.81 / $199.50	Professional		$78.45	$109.81	$199.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $153.90 / $208.62	Professional		$117.50	$153.90	$208.62
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.25 / $56.31 / $299.83	Facility		$47.25	$56.31	$299.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $38.97 / $158.40 / $214.79	Professional		$38.97	$158.40	$214.79
United Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $101.76 / $308.14	Professional		$58.90	$101.76	$308.14