Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,038.88 / $3,038.88 / $3,038.88	Facility		$3,038.88	$3,038.88	$3,038.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $13.42 / $13.42	Professional		$13.42	$13.42	$13.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $9.90 / $9.90	Professional		$9.90	$9.90	$9.90
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $14.76 / $31.54	Facility		$13.42	$14.76	$31.54
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $17.10 / $541.88	Professional		$11.97	$17.10	$541.88
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $48.60 / $3,495.87	Facility		$48.60	$48.60	$3,495.87
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $48.60 / $69.26	Professional		$22.63	$48.60	$69.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $13.42 / $18.70 / $36.35	Facility		$13.42	$18.70	$36.35
Providence Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $45.00 / $72.00	Professional		$17.10	$45.00	$72.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $8.72 / $43.59	Professional		$8.69	$8.72	$43.59