Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $599.34 / $1,557.96	Facility		$17.47	$599.34	$1,557.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $31.44 / $40.49	Professional		$17.54	$31.44	$40.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $19.52	Professional		$19.52	$19.52	$19.52
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $51.92 / $51.92 / $51.92	Facility		$51.92	$51.92	$51.92
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $62.85	Professional		$19.52	$19.52	$62.85
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.21 / $34.03 / $53.48	Facility		$26.21	$34.03	$53.48
Providence Facility/Professional Facility Modifier Low / Median / High Price $29.47 / $44.20 / $72.93	Facility		$29.47	$44.20	$72.93
Providence Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $19.52 / $21.18	Professional		$19.52	$19.52	$21.18
United Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $29.28 / $39.38	Professional		$19.52	$29.28	$39.38