Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $325.22 / $345.08 / $393.26	Facility		$325.22	$345.08	$393.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.29 / $51.96 / $86.05	Professional		$5.29	$51.96	$86.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $50.59 / $50.59	Professional		$50.59	$50.59	$50.59
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $21.75 / $120.47	Facility		$6.83	$21.75	$120.47
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.23 / $77.43 / $310.64	Professional		$15.23	$77.43	$310.64
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $136.94 / $303.45	Professional		$18.76	$136.94	$303.45
Providence Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $21.75 / $120.47	Facility		$6.83	$21.75	$120.47
Providence Facility/Professional Professional Modifier Low / Median / High Price $14.38 / $75.36 / $297.00	Professional		$14.38	$75.36	$297.00
United Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $135.68 / $311.64	Professional		$87.54	$135.68	$311.64