Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.88 / $3,619.04 / $8,374.48	Facility		$26.88	$3,619.04	$8,374.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $32.63 / $3,890.00	Professional		$29.37	$32.63	$3,890.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $78.15 / $78.15 / $78.15	Facility		$78.15	$78.15	$78.15
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $94.60	Professional		$29.38	$29.38	$94.60
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.74 / $50.01 / $78.58	Facility		$41.74	$50.01	$78.58
Providence Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $69.45 / $114.61	Facility		$40.36	$69.45	$114.61
Providence Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $31.88	Professional		$29.38	$29.38	$31.88
United Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $44.07 / $88.14	Professional		$32.71	$44.07	$88.14