Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.32 / $292.20 / $1,928.06	Facility		$82.32	$292.20	$1,928.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $60.61 / $89.61	Professional		$55.10	$60.61	$89.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $128.13 / $262.70 / $316.16	Facility		$128.13	$262.70	$316.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $56.86 / $81.23	Professional		$56.86	$56.86	$81.23
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.93 / $92.93 / $146.04	Facility		$92.93	$92.93	$146.04
Providence Facility/Professional Facility Modifier Low / Median / High Price $92.93 / $128.13 / $219.05	Facility		$92.93	$128.13	$219.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $81.23	Professional		$56.42	$56.42	$81.23
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $84.75 / $113.97	Professional		$56.50	$84.75	$113.97