Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.19 / $380.17 / $17,143.09	Facility		$83.19	$380.17	$17,143.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $99.26 / $2,287.84	Professional		$89.34	$99.26	$2,287.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $89.34	Professional		$89.34	$89.34	$89.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $237.64 / $237.64 / $237.64	Facility		$237.64	$237.64	$237.64
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $287.67	Professional		$89.34	$89.34	$287.67
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.16 / $898.52 / $1,411.96	Facility		$30.16	$898.52	$1,411.96
Providence Facility/Professional Facility Modifier Low / Median / High Price $83.22 / $898.52 / $2,117.94	Facility		$83.22	$898.52	$2,117.94
Providence Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $96.93	Professional		$89.34	$89.34	$96.93
United Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $134.01 / $268.02	Professional		$99.45	$134.01	$268.02