Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $588.84 / $14,125.38	Facility		$93.33	$588.84	$14,125.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $70.79 / $158.49	Professional		$26.92	$70.79	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $251.19	Professional		$107.15	$107.15	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $151.36 / $588.84	Facility		$23.99	$151.36	$588.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $107.15 / $269.15	Professional		$61.66	$107.15	$269.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $154.88 / $371.54	Professional		$85.11	$154.88	$371.54
Providence Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $87.10 / $416.87	Facility		$23.99	$87.10	$416.87
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $251.19	Professional		$40.74	$70.79	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $309.03	Professional		$85.11	$128.82	$309.03