Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $44,668.36 / $67,608.30	Facility		$389.05	$44,668.36	$67,608.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $60.26 / $147.91	Professional		$58.88	$60.26	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $23,988.33	Facility		$58.88	$58.88	$23,988.33
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $190.55	Professional		$58.88	$58.88	$190.55
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $114.82 / $181.97	Facility		$58.88	$114.82	$181.97
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Providence Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $158.49	Facility		$109.65	$109.65	$158.49
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $64.57	Professional		$60.26	$60.26	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $89.13 / $120.23	Professional		$58.88	$89.13	$120.23