Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.73 / $557.87 / $1,194.60	Facility		$97.73	$557.87	$1,194.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $58.97 / $123.75	Professional		$53.07	$58.97	$123.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $45.90	Professional		$45.90	$45.90	$45.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $141.16 / $141.16 / $141.16	Facility		$141.16	$141.16	$141.16
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $170.92	Professional		$53.08	$53.08	$170.92
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $75.59 / $118.80	Facility		$75.59	$75.59	$118.80
Providence Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $108.00 / $178.20	Facility		$75.59	$108.00	$178.20
Providence Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $57.58	Professional		$45.90	$45.90	$57.58
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $79.62 / $107.07	Professional		$53.08	$79.62	$107.07