Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.24 / $393.44 / $9,577.00	Facility		$153.24	$393.44	$9,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.35 / $83.67 / $314.76	Professional		$48.35	$83.67	$314.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $114.26 / $205.16	Professional		$91.21	$114.26	$205.16
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $260.51 / $364.71 / $440.66	Facility		$260.51	$364.71	$440.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $120.83 / $161.10 / $198.93	Professional		$120.83	$161.10	$198.93
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.30 / $232.07 / $286.58	Professional		$139.30	$232.07	$286.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $260.51 / $364.71 / $440.66	Facility		$260.51	$364.71	$440.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.21 / $195.60 / $359.38	Professional		$91.21	$195.60	$359.38
United Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $164.12 / $247.59	Professional		$70.30	$164.12	$247.59