Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $660.69 / $5,888.44	Facility		$251.19	$660.69	$5,888.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $63.10 / $165.96	Professional		$38.02	$63.10	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $141.25 / $251.19	Professional		$102.33	$141.25	$251.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $165.96 / $389.05	Facility		$47.86	$165.96	$389.05
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $158.49 / $295.12	Professional		$72.44	$158.49	$295.12
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $323.59	Professional		$128.82	$234.42	$323.59
Providence Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $79.43 / $281.84	Facility		$39.81	$79.43	$281.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $141.25	Professional		$51.29	$72.44	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $194.98 / $302.00	Professional		$56.23	$194.98	$302.00