Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $3,235.94 / $8,511.38	Facility		$42.66	$3,235.94	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $45.71 / $83.18	Professional		$44.67	$45.71	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $45.71 / $85.11	Facility		$45.71	$45.71	$85.11
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $147.91	Professional		$45.71	$45.71	$147.91
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $79.43 / $125.89	Facility		$45.71	$79.43	$125.89
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Providence Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $120.23	Facility		$85.11	$85.11	$120.23
Providence Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $48.98 / $60.26	Professional		$41.69	$48.98	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $67.61 / $891.25	Professional		$45.71	$67.61	$891.25