Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $537.03 / $154,881.66	Facility		$85.11	$537.03	$154,881.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $97.72	Professional		$81.28	$81.28	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $102.33 / $204.17	Facility		$81.28	$102.33	$204.17
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $97.72 / $204.17	Professional		$81.28	$97.72	$204.17
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $128.82 / $204.17	Facility		$123.03	$128.82	$204.17
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $112.20 / $112.20	Professional		$93.33	$112.20	$112.20
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $107.15 / $151.36	Facility		$81.28	$107.15	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $104.71	Professional		$81.28	$81.28	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $229.09	Professional		$81.28	$123.03	$229.09