Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.31 / $290.91 / $10,900.00	Facility		$64.31	$290.91	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.30 / $56.04 / $232.73	Professional		$20.30	$56.04	$232.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.33 / $76.59 / $163.35	Professional		$39.33	$76.59	$163.35
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $108.52 / $155.18 / $325.82	Facility		$108.52	$155.18	$325.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $67.72 / $143.61	Professional		$52.58	$67.72	$143.61
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $109.85 / $214.60	Professional		$52.80	$109.85	$214.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $108.52 / $155.18 / $325.82	Facility		$108.52	$155.18	$325.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.80 / $97.50 / $226.50	Professional		$44.80	$97.50	$226.50
United Facility/Professional Professional Modifier Low / Median / High Price $57.38 / $130.68 / $197.14	Professional		$57.38	$130.68	$197.14