Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.78 / $397.61 / $1,072.80	Facility		$58.78	$397.61	$1,072.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.06 / $159.31 / $693.71	Professional		$48.06	$159.31	$693.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $76.40 / $969.10	Professional		$76.40	$76.40	$969.10
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.06 / $343.52 / $971.19	Facility		$48.06	$343.52	$971.19
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.95 / $65.62 / $999.00	Professional		$50.95	$65.62	$999.00
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $175.50 / $1,396.60	Professional		$46.20	$175.50	$1,396.60
Providence Facility/Professional Facility Modifier Low / Median / High Price $48.06 / $68.73 / $971.19	Facility		$48.06	$68.73	$971.19
Providence Facility/Professional Professional Modifier Low / Median / High Price $40.92 / $202.50 / $1,144.13	Professional		$40.92	$202.50	$1,144.13
United Facility/Professional Professional Modifier Low / Median / High Price $107.42 / $775.28 / $1,162.92	Professional		$107.42	$775.28	$1,162.92