Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.19 / $649.80 / $43,151.85	Facility		$111.19	$649.80	$43,151.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $185.94 / $256.33	Professional		$100.82	$185.94	$256.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $99.97	Professional		$99.97	$99.97	$99.97
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $265.89 / $265.89 / $265.89	Facility		$265.89	$265.89	$265.89
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $321.89	Professional		$99.97	$99.97	$321.89
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.18 / $164.39 / $258.32	Facility		$149.18	$164.39	$258.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $149.97 / $234.84 / $387.49	Facility		$149.97	$234.84	$387.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $99.97 / $108.46	Professional		$99.97	$99.97	$108.46
United Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $149.96 / $201.66	Professional		$99.97	$149.96	$201.66