Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.73 / $378.88 / $10,900.00	Facility		$187.73	$378.88	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $64.90 / $267.26	Professional		$26.94	$64.90	$267.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $97.21 / $173.22	Professional		$53.60	$97.21	$173.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $214.77 / $374.16	Facility		$150.19	$214.77	$374.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $85.38 / $166.92	Professional		$71.15	$85.38	$166.92
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $127.60 / $240.46	Professional		$72.00	$127.60	$240.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $214.77 / $374.16	Facility		$150.19	$214.77	$374.16
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.02 / $126.40 / $234.00	Professional		$55.02	$126.40	$234.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.28 / $138.58 / $209.06	Professional		$59.28	$138.58	$209.06