Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $427.43 / $10,900.00	Facility		$53.98	$427.43	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.44 / $76.93 / $322.54	Professional		$17.44	$76.93	$322.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.43 / $57.23 / $190.38	Professional		$27.43	$57.23	$190.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.69 / $118.25 / $451.56	Facility		$82.69	$118.25	$451.56
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $52.87 / $203.79	Professional		$37.20	$52.87	$203.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $151.19 / $302.08	Professional		$37.03	$151.19	$302.08
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.69 / $118.25 / $451.56	Facility		$82.69	$118.25	$451.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $32.90 / $105.11 / $267.50	Professional		$32.90	$105.11	$267.50
United Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $152.30 / $229.76	Professional		$58.90	$152.30	$229.76