Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.77 / $208.04 / $13,413.92	Facility		$74.77	$208.04	$13,413.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $60.30 / $115.74	Professional		$16.55	$60.30	$115.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.73 / $49.73 / $49.73	Facility		$49.73	$49.73	$49.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $20.65 / $25.81	Professional		$13.25	$20.65	$25.81
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $16.30	Facility		$16.30	$16.30	$16.30
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $72.00	Professional		$18.00	$18.00	$72.00
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $69.30 / $116.08	Facility		$63.00	$69.30	$116.08
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $40.50 / $40.50	Professional		$16.20	$40.50	$40.50
Providence Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $16.30 / $63.00	Facility		$16.30	$16.30	$63.00
Providence Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $18.00 / $23.27	Professional		$18.00	$18.00	$23.27
United Facility/Professional Professional Modifier Low / Median / High Price $11.32 / $36.00 / $54.31	Professional		$11.32	$36.00	$54.31