Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.94 / $79.15 / $13,413.92	Facility		$53.94	$79.15	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.11 / $18.55 / $91.00	Professional		$14.11	$18.55	$91.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $32.86 / $62.22	Professional		$29.13	$32.86	$62.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.43 / $115.40 / $127.40	Facility		$82.43	$115.40	$127.40
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $46.59 / $53.37	Professional		$38.83	$46.59	$53.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.64 / $67.50 / $79.75	Professional		$38.64	$67.50	$79.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $82.43 / $115.40 / $127.40	Facility		$82.43	$115.40	$127.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.02 / $55.49 / $116.62	Professional		$28.02	$55.49	$116.62
United Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $49.78 / $75.09	Professional		$20.14	$49.78	$75.09