Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.16 / $3,395.56 / $3,880.64	Facility		$171.16	$3,395.56	$3,880.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.81 / $139.94 / $139.94	Professional		$58.81	$139.94	$139.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $66.79 / $204.19	Professional		$51.56	$66.79	$204.19
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $64.54 / $139.94 / $195.93	Facility		$64.54	$139.94	$195.93
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $138.28 / $165.93 / $227.77	Professional		$138.28	$165.93	$227.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.10 / $237.60 / $312.93	Professional		$199.10	$237.60	$312.93
Providence Facility/Professional Facility Modifier Low / Median / High Price $64.54 / $139.94 / $195.93	Facility		$64.54	$139.94	$195.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $135.75 / $293.39	Professional		$73.34	$135.75	$293.39
United Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $177.56 / $310.73	Professional		$94.24	$177.56	$310.73