Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $691.83 / $12,022.64	Facility		$407.38	$691.83	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $79.43 / $177.83	Professional		$34.67	$79.43	$177.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $257.04	Professional		$120.23	$120.23	$257.04
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $177.83 / $691.83	Facility		$33.11	$177.83	$691.83
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $131.83 / $269.15	Professional		$79.43	$131.83	$269.15
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $186.21 / $354.81	Professional		$95.50	$186.21	$354.81
Providence Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $87.10 / $398.11	Facility		$33.11	$87.10	$398.11
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $77.62 / $257.04	Professional		$50.12	$77.62	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $204.17	Professional		$87.10	$97.72	$204.17