Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $41,686.94 / $56,234.13	Facility		$1,479.11	$41,686.94	$56,234.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $416.87	Professional		$223.87	$223.87	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $416.87	Facility		$223.87	$223.87	$416.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $724.44	Professional		$223.87	$223.87	$724.44
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $363.08 / $575.44	Facility		$223.87	$363.08	$575.44
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Providence Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $602.56	Facility		$416.87	$416.87	$602.56
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $223.87 / $245.47	Professional		$60.26	$223.87	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $457.09	Professional		$223.87	$338.84	$457.09