Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $954.99 / $12,022.64	Facility		$380.19	$954.99	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $47.86 / $93.33	Professional		$25.12	$47.86	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $52.48 / $147.91	Professional		$26.30	$52.48	$147.91
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $58.88 / $954.99	Facility		$20.89	$58.88	$954.99
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $87.10 / $144.54	Professional		$48.98	$87.10	$144.54
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $74.13 / $181.97	Professional		$39.81	$74.13	$181.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $46.77 / $93.33	Facility		$20.89	$46.77	$93.33
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $46.77 / $138.04	Professional		$15.14	$46.77	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $70.79 / $117.49	Professional		$42.66	$70.79	$117.49