Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.20 / $348.71 / $11,709.00	Facility		$126.20	$348.71	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $226.24 / $411.00	Professional		$48.22	$226.24	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.18 / $158.18 / $255.01	Professional		$158.18	$158.18	$255.01
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $325.29 / $523.59	Facility		$58.89	$325.29	$523.59
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $302.39 / $519.53	Professional		$116.45	$302.39	$519.53
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.70 / $302.50 / $512.60	Professional		$191.70	$302.50	$512.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.89 / $325.29 / $523.59	Facility		$58.89	$325.29	$523.59
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $259.74 / $517.36	Professional		$99.73	$259.74	$517.36
United Facility/Professional Professional Modifier Low / Median / High Price $204.02 / $205.68 / $307.79	Professional		$204.02	$205.68	$307.79