Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $12,022.64 / $16,595.87	Facility		$72.44	$12,022.64	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $32.36 / $57.54	Professional		$25.70	$32.36	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $93.33	Professional		$61.66	$61.66	$93.33
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $35.48 / $81.28	Facility		$26.30	$35.48	$81.28
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $77.62 / $181.97	Professional		$58.88	$77.62	$181.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $151.36	Professional		$100.00	$100.00	$151.36
Providence Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $83.18	Facility		$44.67	$57.54	$83.18
Providence Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $60.26 / $93.33	Professional		$27.54	$60.26	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $74.13 / $158.49	Professional		$63.10	$74.13	$158.49