Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.85 / $539.41 / $9,084.02	Facility		$82.85	$539.41	$9,084.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $90.09 / $152.33	Professional		$71.70	$90.09	$152.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $81.90	Professional		$81.90	$81.90	$81.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $152.33 / $213.26	Facility		$82.86	$152.33	$213.26
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $163.80	Professional		$81.90	$81.90	$163.80
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.78 / $132.97 / $208.96	Facility		$119.78	$132.97	$208.96
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.98 / $113.98 / $113.98	Professional		$94.98	$113.98	$113.98
Providence Facility/Professional Facility Modifier Low / Median / High Price $81.90 / $152.33 / $213.26	Facility		$81.90	$152.33	$213.26
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $93.66 / $111.19	Professional		$81.90	$93.66	$111.19
United Facility/Professional Professional Modifier Low / Median / High Price $86.81 / $122.85 / $245.70	Professional		$86.81	$122.85	$245.70