Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.50 / $946.68 / $13,413.92	Facility		$153.50	$946.68	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.20 / $54.64 / $327.16	Professional		$34.20	$54.64	$327.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $64.26 / $192.24	Professional		$64.26	$64.26	$192.24
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $49.67 / $73.06 / $467.84	Facility		$49.67	$73.06	$467.84
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $98.65 / $154.05 / $293.37	Professional		$98.65	$154.05	$293.37
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.50 / $226.25 / $331.23	Professional		$152.50	$226.25	$331.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.23 / $89.65 / $467.84	Facility		$58.23	$89.65	$467.84
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.53 / $210.00 / $369.38	Professional		$56.53	$210.00	$369.38
United Facility/Professional Professional Modifier Low / Median / High Price $68.97 / $153.80 / $465.73	Professional		$68.97	$153.80	$465.73