Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $323.59 / $1,584.89	Facility		$117.49	$323.59	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $120.23 / $181.97	Professional		$40.74	$120.23	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $128.82 / $323.59	Professional		$50.12	$128.82	$323.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $138.04 / $302.00	Facility		$51.29	$138.04	$302.00
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $295.12 / $575.44	Professional		$102.33	$295.12	$575.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $251.19 / $660.69	Professional		$123.03	$251.19	$660.69
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $147.91 / $302.00	Facility		$52.48	$147.91	$302.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $128.82 / $354.81	Professional		$54.95	$128.82	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $128.82 / $398.11	Professional		$41.69	$128.82	$398.11