Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.48 / $4,806.00 / $11,709.00	Facility		$114.48	$4,806.00	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $55.40 / $152.60	Professional		$11.59	$55.40	$152.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.14 / $48.44 / $146.90	Professional		$19.14	$48.44	$146.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $79.22 / $131.04	Facility		$55.40	$79.22	$131.04
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.23 / $72.00 / $134.00	Professional		$58.23	$72.00	$134.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.15 / $97.20 / $187.33	Professional		$40.15	$97.20	$187.33
Providence Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $79.22 / $131.04	Facility		$55.40	$79.22	$131.04
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $72.05 / $146.90	Professional		$28.80	$72.05	$146.90
United Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $117.52 / $176.28	Professional		$47.28	$117.52	$176.28