Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $270.02 / $1,698.95	Facility		$79.59	$270.02	$1,698.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $156.40 / $505.64	Professional		$25.50	$156.40	$505.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $148.69 / $554.45	Professional		$25.43	$148.69	$554.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $101.62 / $671.76	Facility		$63.08	$101.62	$671.76
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $192.19 / $569.98	Professional		$52.42	$192.19	$569.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.25 / $176.17 / $1,011.50	Professional		$74.25	$176.17	$1,011.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $25.78 / $101.62 / $671.76	Facility		$25.78	$101.62	$671.76
Providence Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $192.19 / $1,011.50	Professional		$55.87	$192.19	$1,011.50
United Facility/Professional Professional Modifier Low / Median / High Price $223.92 / $475.49 / $996.05	Professional		$223.92	$475.49	$996.05