Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.87 / $7,340.00 / $13,413.92	Facility		$92.87	$7,340.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $42.18 / $153.40	Professional		$21.28	$42.18	$153.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.85 / $87.70 / $136.59	Professional		$63.85	$87.70	$136.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $25.27 / $122.65 / $214.76	Facility		$25.27	$122.65	$214.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $59.03 / $93.15 / $187.20	Professional		$59.03	$93.15	$187.20
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $129.60 / $229.90	Professional		$90.75	$129.60	$229.90
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.23 / $130.38 / $214.76	Facility		$29.23	$130.38	$214.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $129.50 / $229.90	Professional		$50.40	$129.50	$229.90
United Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $128.99 / $213.75	Professional		$85.50	$128.99	$213.75