Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.57 / $633.08 / $10,900.00	Facility		$150.57	$633.08	$10,900.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $72.89 / $198.08	Professional		$27.87	$72.89	$198.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.60 / $90.60 / $143.05	Professional		$90.60	$90.60	$143.05
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $168.64 / $277.31	Facility		$32.04	$168.64	$277.31
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $157.50 / $292.44	Professional		$60.65	$157.50	$292.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $162.80 / $283.20	Professional		$101.25	$162.80	$283.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $168.64 / $277.31	Facility		$32.04	$168.64	$277.31
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.53 / $148.00 / $297.00	Professional		$54.53	$148.00	$297.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $171.66 / $277.38	Professional		$114.27	$171.66	$277.38