Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.11 / $464.68 / $11,709.00	Facility		$158.11	$464.68	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.64 / $124.43 / $371.75	Professional		$47.64	$124.43	$371.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.07 / $83.07 / $221.57	Professional		$83.07	$83.07	$221.57
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $82.69 / $531.60	Facility		$61.28	$82.69	$531.60
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $119.68 / $174.97 / $353.50	Professional		$119.68	$174.97	$353.50
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.00 / $252.50 / $357.05	Professional		$185.00	$252.50	$357.05
Providence Facility/Professional Facility Modifier Low / Median / High Price $71.70 / $100.48 / $531.60	Facility		$71.70	$100.48	$531.60
Providence Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $248.20 / $357.05	Professional		$70.30	$248.20	$357.05
United Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $177.26 / $536.77	Professional		$89.68	$177.26	$536.77