Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.75 / $515.10 / $9,285.00	Facility		$174.75	$515.10	$9,285.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $294.83 / $666.56	Professional		$59.79	$294.83	$666.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.30 / $190.89 / $348.97	Professional		$99.30	$190.89	$348.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $294.83 / $421.61 / $746.55	Facility		$294.83	$421.61	$746.55
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $142.33 / $170.79 / $332.85	Professional		$142.33	$170.79	$332.85
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $255.20 / $479.51	Professional		$141.68	$255.20	$479.51
Providence Facility/Professional Facility Modifier Low / Median / High Price $294.83 / $421.61 / $746.55	Facility		$294.83	$421.61	$746.55
Providence Facility/Professional Professional Modifier Low / Median / High Price $112.00 / $250.50 / $474.00	Professional		$112.00	$250.50	$474.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.08 / $279.18 / $421.17	Professional		$120.08	$279.18	$421.17