Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.59 / $813.00 / $13,413.92	Facility		$179.59	$813.00	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $45.28 / $165.79	Professional		$35.56	$45.28	$165.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $63.41 / $122.99	Professional		$63.41	$63.41	$122.99
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $41.01 / $291.47	Facility		$35.09	$41.01	$291.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $68.73 / $83.46 / $188.66	Professional		$68.73	$83.46	$188.66
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.50 / $135.71 / $299.70	Professional		$107.50	$135.71	$299.70
Providence Facility/Professional Facility Modifier Low / Median / High Price $41.01 / $41.55 / $237.08	Facility		$41.01	$41.55	$237.08
Providence Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $144.50 / $357.50	Professional		$48.45	$144.50	$357.50
United Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $98.38 / $297.91	Professional		$66.86	$98.38	$297.91