Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $251.19 / $3,801.89	Facility		$60.26	$251.19	$3,801.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.18 / $60.26	Professional		$20.89	$28.18	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $27.54 / $77.62	Professional		$20.89	$27.54	$77.62
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.11 / $77.62	Facility		$22.39	$33.11	$77.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $56.23 / $93.33	Professional		$24.55	$56.23	$93.33
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $75.86 / $109.65	Professional		$36.31	$75.86	$109.65
Providence Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $35.48 / $64.57	Facility		$22.91	$35.48	$64.57
Providence Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $32.36 / $79.43	Professional		$20.89	$32.36	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $63.10 / $93.33	Professional		$22.39	$63.10	$93.33