Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.35 / $311.14 / $17,387.52	Facility		$49.35	$311.14	$17,387.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $50.34 / $111.44	Professional		$45.31	$50.34	$111.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $45.31	Professional		$45.31	$45.31	$45.31
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $120.52 / $120.52 / $120.52	Facility		$120.52	$120.52	$120.52
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $145.90	Professional		$45.31	$45.31	$145.90
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $142.38 / $223.76	Facility		$70.13	$142.38	$223.76
Providence Facility/Professional Facility Modifier Low / Median / High Price $68.03 / $142.38 / $335.64	Facility		$68.03	$142.38	$335.64
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.31 / $45.31 / $49.16	Professional		$45.31	$45.31	$49.16
United Facility/Professional Professional Modifier Low / Median / High Price $50.75 / $67.97 / $135.93	Professional		$50.75	$67.97	$135.93