Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.99 / $150.44 / $28,485.12	Facility		$84.99	$150.44	$28,485.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.52 / $146.56 / $190.47	Professional		$82.52	$146.56	$190.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $78.79	Professional		$78.79	$78.79	$78.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $209.58 / $209.58 / $209.58	Facility		$209.58	$209.58	$209.58
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $78.80 / $253.74	Professional		$78.80	$78.80	$253.74
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.91 / $188.38 / $296.02	Facility		$122.91	$188.38	$296.02
Providence Facility/Professional Facility Modifier Low / Median / High Price $120.61 / $209.58 / $444.05	Facility		$120.61	$209.58	$444.05
Providence Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $78.79 / $85.48	Professional		$78.79	$78.79	$85.48
United Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $118.20 / $236.40	Professional		$88.26	$118.20	$236.40