Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.17 / $221.57 / $11,709.00	Facility		$59.17	$221.57	$11,709.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $22.35 / $81.48	Professional		$6.92	$22.35	$81.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.10 / $24.94 / $45.79	Professional		$13.10	$24.94	$45.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $67.70 / $114.09	Facility		$47.34	$67.70	$114.09
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $17.80 / $21.65 / $41.73	Professional		$17.80	$21.65	$41.73
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $33.00 / $62.35	Professional		$17.71	$33.00	$62.35
Providence Facility/Professional Facility Modifier Low / Median / High Price $47.34 / $67.70 / $114.09	Facility		$47.34	$67.70	$114.09
Providence Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $33.00 / $69.30	Professional		$13.64	$33.00	$69.30
United Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $36.64 / $55.28	Professional		$15.20	$36.64	$55.28