Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $19,054.61 / $29,512.09	Facility		$54.95	$19,054.61	$29,512.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $91.20	Professional		$48.98	$48.98	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $58.88	Facility		$48.98	$48.98	$58.88
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $158.49	Professional		$48.98	$48.98	$158.49
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $125.89 / $194.98	Facility		$48.98	$125.89	$194.98
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Providence Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $131.83	Facility		$91.20	$91.20	$131.83
Providence Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $53.70 / $60.26	Professional		$50.12	$53.70	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $74.13 / $1,023.29	Professional		$54.95	$74.13	$1,023.29