Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.90 / $695.69 / $9,577.00	Facility		$215.90	$695.69	$9,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $172.72 / $659.25	Professional		$32.10	$172.72	$659.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.96 / $124.25 / $213.82	Professional		$89.96	$124.25	$213.82
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $189.99 / $337.71	Facility		$41.00	$189.99	$337.71
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $80.05 / $144.60 / $290.55	Professional		$80.05	$144.60	$290.55
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $187.36 / $272.67	Professional		$123.75	$187.36	$272.67
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $189.99 / $337.71	Facility		$41.00	$189.99	$337.71
Providence Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $187.50 / $286.64	Professional		$75.00	$187.50	$286.64
United Facility/Professional Professional Modifier Low / Median / High Price $127.15 / $196.21 / $325.14	Professional		$127.15	$196.21	$325.14