Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $75.06 / $192.93	Professional		$21.60	$75.06	$192.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $88.09 / $88.09	Professional		$88.09	$88.09	$88.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $38.11 / $270.10	Facility		$26.65	$38.11	$270.10
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $44.79 / $287.25	Professional		$34.78	$44.79	$287.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $105.30 / $429.20	Professional		$36.54	$105.30	$429.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $38.11 / $270.10	Facility		$26.65	$38.11	$270.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.01 / $162.06 / $457.50	Professional		$32.01	$162.06	$457.50
United Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $251.08 / $378.78	Professional		$115.14	$251.08	$378.78