Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.71 / $592.54 / $13,250.22	Facility		$91.71	$592.54	$13,250.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $100.47 / $169.89	Professional		$91.34	$100.47	$169.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $91.34	Professional		$91.34	$91.34	$91.34
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $92.25 / $169.89 / $237.85	Facility		$92.25	$169.89	$237.85
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $182.68	Professional		$91.34	$91.34	$182.68
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.16 / $152.94 / $240.33	Facility		$133.16	$152.94	$240.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $131.09 / $131.09	Professional		$109.24	$131.09	$131.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $169.89 / $237.85	Facility		$91.34	$169.89	$237.85
Providence Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $103.50 / $127.27	Professional		$91.34	$103.50	$127.27
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $137.01 / $274.02	Professional		$91.34	$137.01	$274.02