Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.18 / $293.22 / $501.76	Facility		$111.18	$293.22	$501.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $88.95 / $150.71	Professional		$16.05	$88.95	$150.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.36 / $46.44 / $58.06	Professional		$24.36	$46.44	$58.06
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $21.33 / $21.33	Facility		$10.62	$21.33	$21.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $35.58 / $79.56 / $182.00	Professional		$35.58	$79.56	$182.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $97.65 / $165.46	Professional		$37.47	$97.65	$165.46
Providence Facility/Professional Facility Modifier Low / Median / High Price $10.62 / $21.33 / $21.33	Facility		$10.62	$21.33	$21.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $72.59 / $172.05	Professional		$21.38	$72.59	$172.05
United Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $82.74 / $190.30	Professional		$77.23	$82.74	$190.30