Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.97 / $468.92 / $9,577.00	Facility		$85.97	$468.92	$9,577.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $81.59 / $255.41	Professional		$24.75	$81.59	$255.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $129.97 / $300.45	Professional		$40.72	$129.97	$300.45
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $204.33 / $292.19	Facility		$81.59	$204.33	$292.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $109.35 / $299.00	Professional		$84.90	$109.35	$299.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.20 / $166.65 / $418.00	Professional		$74.20	$166.65	$418.00
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.59 / $116.67 / $286.06	Facility		$81.59	$116.67	$286.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $146.01 / $361.20	Professional		$57.75	$146.01	$361.20
United Facility/Professional Professional Modifier Low / Median / High Price $76.41 / $240.36 / $360.54	Professional		$76.41	$240.36	$360.54