Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.14 / $223.02 / $9,577.00	Facility		$93.14	$223.02	$9,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $31.80 / $184.09	Professional		$12.82	$31.80	$184.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $52.16 / $103.60	Professional		$25.01	$52.16	$103.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $90.19 / $128.97 / $257.73	Facility		$90.19	$128.97	$257.73
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $34.78 / $44.65 / $96.06	Professional		$34.78	$44.65	$96.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $67.20 / $141.00	Professional		$33.81	$67.20	$141.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $90.19 / $128.97 / $257.73	Facility		$90.19	$128.97	$257.73
Providence Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $63.00 / $161.69	Professional		$30.10	$63.00	$161.69
United Facility/Professional Professional Modifier Low / Median / High Price $35.34 / $82.88 / $125.03	Professional		$35.34	$82.88	$125.03