Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.85 / $720.37 / $9,577.00	Facility		$293.85	$720.37	$9,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.95 / $235.08 / $576.29	Professional		$43.95	$235.08	$576.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $166.11 / $385.00	Professional		$85.17	$166.11	$385.00
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $235.08 / $550.79 / $806.82	Facility		$235.08	$550.79	$806.82
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $113.23 / $210.60 / $358.08	Professional		$113.23	$210.60	$358.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.40 / $256.20 / $528.00	Professional		$114.40	$256.20	$528.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $235.08 / $336.16 / $806.82	Facility		$235.08	$336.16	$806.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $229.35 / $535.50	Professional		$95.90	$229.35	$535.50
United Facility/Professional Professional Modifier Low / Median / High Price $135.66 / $308.00 / $464.65	Professional		$135.66	$308.00	$464.65