Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.39 / $264.08 / $8,422.43	Facility		$43.39	$264.08	$8,422.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $49.54 / $94.56	Professional		$44.60	$49.54	$94.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $44.60	Professional		$44.60	$44.60	$44.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $118.62 / $118.62 / $118.62	Facility		$118.62	$118.62	$118.62
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $143.61	Professional		$44.60	$44.60	$143.61
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.99 / $77.56 / $121.88	Facility		$56.99	$77.56	$121.88
Providence Facility/Professional Facility Modifier Low / Median / High Price $57.86 / $110.80 / $182.82	Facility		$57.86	$110.80	$182.82
Providence Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $48.38	Professional		$44.60	$44.60	$48.38
United Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $66.90 / $89.97	Professional		$44.60	$66.90	$89.97