Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $5,888.44 / $14,125.38	Facility		$177.83	$5,888.44	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $169.82 / $316.23	Professional		$69.18	$169.82	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $229.09 / $501.19	Professional		$151.36	$229.09	$501.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $141.25 / $316.23	Facility		$54.95	$141.25	$316.23
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $416.87	Professional		$102.33	$181.97	$416.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $630.96	Professional		$154.88	$281.84	$630.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $141.25 / $316.23	Facility		$40.74	$141.25	$316.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $154.88 / $478.63	Professional		$60.26	$154.88	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $602.56	Professional		$181.97	$275.42	$602.56