Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $15,488.17 / $15,488.17	Facility		$102.33	$15,488.17	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $15.49 / $28.84	Professional		$15.14	$15.49	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $18.62	Facility		$15.49	$15.49	$18.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $50.12	Professional		$15.49	$15.49	$50.12
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.20 / $46.77	Facility		$15.49	$30.20	$46.77
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Professional		$15.49	$15.49	$15.49
Providence Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $41.69	Facility		$28.84	$28.84	$41.69
Providence Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $60.26	Professional		$15.14	$16.98	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.44 / $31.62	Professional		$15.49	$23.44	$31.62