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 $46.53 / $60.93 / $83.04	Professional		$46.53	$60.93	$83.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $71.95 / $71.95	Professional		$71.95	$71.95	$71.95
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $53.67 / $60.93 / $85.30	Facility		$53.67	$60.93	$85.30
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $178.80 / $287.39	Professional		$79.34	$178.80	$287.39
Providence Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $60.93 / $85.30	Facility		$51.79	$60.93	$85.30
Providence Facility/Professional Professional Modifier Low / Median / High Price $81.95 / $178.80 / $290.55	Professional		$81.95	$178.80	$290.55
United Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $131.74 / $238.27	Professional		$118.40	$131.74	$238.27