Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $371.54 / $10,232.93	Facility		$60.26	$371.54	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $107.15	Professional		$57.54	$57.54	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $69.18	Facility		$57.54	$57.54	$69.18
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $181.97	Professional		$57.54	$57.54	$181.97
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $89.13 / $141.25	Facility		$57.54	$89.13	$141.25
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Providence Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $151.36	Facility		$107.15	$107.15	$151.36
Providence Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $61.66	Professional		$57.54	$60.26	$61.66
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $1,148.15	Professional		$57.54	$85.11	$1,148.15