Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.40 / $289.66 / $12,103.43	Facility		$47.40	$289.66	$12,103.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $49.00 / $103.72	Professional		$44.10	$49.00	$103.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $44.11	Professional		$44.11	$44.11	$44.11
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $117.32 / $117.32 / $117.32	Facility		$117.32	$117.32	$117.32
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $142.03	Professional		$44.11	$44.11	$142.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.11 / $98.28 / $154.44	Facility		$66.11	$98.28	$154.44
Providence Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $117.32 / $226.21	Facility		$66.00	$117.32	$226.21
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $44.11 / $47.85	Professional		$44.11	$44.11	$47.85
United Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $66.17 / $88.98	Professional		$44.11	$66.17	$88.98