Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9,285.00 / $10,900.00 / $14,552.94	Facility		$9,285.00	$10,900.00	$14,552.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.69 / $90.76 / $114.52	Professional		$68.69	$90.76	$114.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $99.22 / $99.22	Professional		$99.22	$99.22	$99.22
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $52.86 / $90.76 / $127.06	Facility		$52.86	$90.76	$127.06
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.22 / $266.39 / $396.27	Professional		$118.22	$266.39	$396.27
Providence Facility/Professional Facility Modifier Low / Median / High Price $52.86 / $90.76 / $127.06	Facility		$52.86	$90.76	$127.06
Providence Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $218.67 / $410.70	Professional		$66.56	$218.67	$410.70
United Facility/Professional Professional Modifier Low / Median / High Price $117.26 / $194.44 / $351.67	Professional		$117.26	$194.44	$351.67