Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.82 / $92.86 / $22,032.00	Facility		$52.82	$92.86	$22,032.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $94.37 / $117.57	Professional		$50.94	$94.37	$117.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $50.74	Professional		$50.74	$50.74	$50.74
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $134.94 / $134.94 / $134.94	Facility		$134.94	$134.94	$134.94
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $163.38	Professional		$50.74	$50.74	$163.38
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.38 / $152.07 / $238.96	Facility		$74.38	$152.07	$238.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $73.47 / $147.78 / $348.35	Facility		$73.47	$147.78	$348.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.74 / $50.74 / $55.05	Professional		$50.74	$50.74	$55.05
United Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $76.11 / $152.22	Professional		$56.83	$76.11	$152.22