Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.41 / $202.97 / $2,339.83	Facility		$57.41	$202.97	$2,339.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $34.53 / $72.69	Professional		$31.08	$34.53	$72.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $31.09	Professional		$31.09	$31.09	$31.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.70 / $82.70 / $82.70	Facility		$82.70	$82.70	$82.70
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $100.11	Professional		$31.09	$31.09	$100.11
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.08 / $79.80 / $125.40	Facility		$46.08	$79.80	$125.40
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $82.70 / $188.10	Facility		$47.86	$82.70	$188.10
Providence Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $31.09 / $33.72	Professional		$31.09	$31.09	$33.72
United Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $46.64 / $62.71	Professional		$31.09	$46.64	$62.71