Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $562.40 / $10,900.00	Facility		$68.84	$562.40	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $59.91 / $376.01	Professional		$24.76	$59.91	$376.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.72 / $82.75 / $227.00	Professional		$38.72	$82.75	$227.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $116.18 / $166.14 / $526.41	Facility		$116.18	$166.14	$526.41
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $68.75 / $236.79	Professional		$53.38	$68.75	$236.79
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $132.00 / $341.11	Professional		$71.50	$132.00	$341.11
Providence Facility/Professional Facility Modifier Low / Median / High Price $116.18 / $166.14 / $526.41	Facility		$116.18	$166.14	$526.41
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.50 / $120.25 / $315.00	Professional		$45.50	$120.25	$315.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.69 / $181.60 / $273.95	Professional		$72.69	$181.60	$273.95