Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.94 / $1,119.30 / $18,420.00	Facility		$169.94	$1,119.30	$18,420.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $320.33 / $400.84	Professional		$173.66	$320.33	$400.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $172.22	Professional		$172.22	$172.22	$172.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $458.07 / $458.07 / $458.07	Facility		$458.07	$458.07	$458.07
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $554.54	Professional		$172.22	$172.22	$554.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.18 / $263.00 / $413.29	Facility		$245.18	$263.00	$413.29
Providence Facility/Professional Facility Modifier Low / Median / High Price $237.68 / $364.78 / $601.89	Facility		$237.68	$364.78	$601.89
Providence Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $172.22 / $186.84	Professional		$172.22	$172.22	$186.84
United Facility/Professional Professional Modifier Low / Median / High Price $172.22 / $258.33 / $347.40	Professional		$172.22	$258.33	$347.40